Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06876 | Date 28/05/2024 |
| Token No | SM/24-25/22414 28/05/2024 | Serial | 044 |
| Patient Name | Mrs. MRITIKA ROY | Contact No | 8617270696 |
| Address | 34/B/63 B B GHOSH ROAD SERAMPORE 712203 | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||