Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07369 | Date 05/07/2024 |
| Token No | SM/24-25/24487 05/07/2024 | Serial | 037 |
| Patient Name | Miss SONIA DEY | Contact No | 9378081271 |
| Address | 118 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||