Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08120 | Date 28/10/2024 |
| Token No | SM/24-25/30258 28/10/2024 | Serial | 077 |
| Patient Name | Miss SIYA BHUIYA | Contact No | 9062871683 |
| Address | 116/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||