Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06117 | Date 29/01/2024 |
| Token No | SM/24-25/23493 21/06/2024 | Serial | 039 |
| Patient Name | Miss ANJALI SHAW | Contact No | 9163044591 |
| Address | 107/F PRAVASHNAGAR SERAMPORE 712249 | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||