Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07096 | Date 22/06/2024 |
| Token No | SM/24-25/23563 22/06/2024 | Serial | 042 |
| Patient Name | Miss BINA SHAW | Contact No | 7439600253 |
| Address | 65/25/9 MAHESH JAAN NAGAR ROAD SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||