Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07360 | Date 04/07/2024 |
| Token No | SM/24-25/24401 04/07/2024 | Serial | 017 |
| Patient Name | Miss SANJUKTA JAISWARA | Contact No | 8100284157 |
| Address | B/67/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||