Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07146 | Date 26/06/2024 |
| Token No | SM/24-25/30166 26/10/2024 | Serial | 058 |
| Patient Name | Miss DIPSIKHA PAL | Contact No | 8599991059 |
| Address | 10A/5/1 PRABASHNAGAR SERAMPORE 712249 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||