Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06199 | Date 07/02/2024 |
| Token No | SM/24-25/27132 23/08/2024 | Serial | 047 |
| Patient Name | Miss OITRI DOLUI | Contact No | 9874775832 |
| Address | 38/B B B GHOSH ROAD SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||