Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07206 | Date 28/06/2024 |
| Token No | SM/24-25/25185 19/07/2024 | Serial | 040 |
| Patient Name | Baby SUBHANGI GUHATHAKURTA | Contact No | 9851668738 |
| Address | 1/A D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||