Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06938 | Date 05/06/2024 |
| Token No | SM/24-25/24254 02/07/2024 | Serial | 058 |
| Patient Name | Miss ANKITA JHA | Contact No | 8240965026 |
| Address | 34 B/41 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||