Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08063 | Date 21/10/2024 |
| Token No | SM/24-25/29756 21/10/2024 | Serial | 063 |
| Patient Name | Miss SUSMITA DAS | Contact No | 9163545138 |
| Address | 4 TARAPUKUR COLONY SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||