Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04790 | Date 10/08/2023 |
| Token No | SM/24-25/26067 05/08/2024 | Serial | 082 |
| Patient Name | Mrs. GUDDI KARMAKAR | Contact No | 9330372959 |
| Address | SOCIETY MATH SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||