Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07106 | Date 24/06/2024 |
| Token No | SM/24-25/23617 24/06/2024 | Serial | 041 |
| Patient Name | Miss ADRITA SARKAR | Contact No | 9123735462 |
| Address | 65/20/9/1 MAHESH JANNAGAR ROAD SERAMPORE 712249 | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||