Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07488 | Date 19/07/2024 |
| Token No | SM/24-25/25224 19/07/2024 | Serial | 079 |
| Patient Name | Miss SAMRIDDHI MONDAL | Contact No | 7278571306 |
| Address | SIMLA BISWA KABI PARA SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||