Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07512 | Date 24/07/2024 |
| Token No | SM/24-25/26442 10/08/2024 | Serial | 053 |
| Patient Name | Baby SHITANSHI SHAW | Contact No | 8420803625 |
| Address | CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||