Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00833 | Date 01/02/2020 |
| Token No | SM/24-25/25461 24/07/2024 | Serial | 048 |
| Patient Name | Miss NANDINI MALLICK | Contact No | 8961671771 |
| Address | B/92/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||