Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03892 | Date 06/03/2023 |
| Token No | SM/24-25/27852 07/09/2024 | Serial | 008 |
| Patient Name | Miss SHREYA KOIRI | Contact No | 7880609814 |
| Address | B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||