Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02539 | Date 24/08/2022 |
| Token No | SM/24-25/21813 11/05/2024 | Serial | 009 |
| Patient Name | Miss KIRAN KUMARI SHAW | Contact No | 9163960053 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||