Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07405 | Date 09/07/2024 |
| Token No | SM/24-25/24741 09/07/2024 | Serial | 057 |
| Patient Name | Miss VIDYA HARI | Contact No | 6289099209 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||