Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07659 | Date 12/08/2024 |
| Token No | SM/24-25/26530 12/08/2024 | Serial | 065 |
| Patient Name | Miss SAMRIDDHI DAS | Contact No | 9007307235 |
| Address | 49 SERAMPORE COLONY SERAMPORE 712203 | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||