Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08070 | Date 21/10/2024 |
| Token No | SM/24-25/29814 21/10/2024 | Serial | 121 |
| Patient Name | Miss DRISHTI DAS | Contact No | 7980585050 |
| Address | 112 NEW MAHESH SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||