Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07593 | Date 06/08/2024 |
| Token No | SM/24-25/26109 06/08/2024 | Serial | 039 |
| Patient Name | Miss DUSTU SAHA | Contact No | 9674474336 |
| Address | 30/21 TARAPUKUR COLONY SERAMPORE 712203 | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||