Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07595 | Date 06/08/2024 |
| Token No | SM/24-25/26114 06/08/2024 | Serial | 044 |
| Patient Name | Miss SUMITA DAS | Contact No | 9051754536 |
| Address | B B GHOSH ROAD SOCIETY MATH SERAMPORE 712203 | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||