Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08147 | Date 04/11/2024 |
| Token No | SM/24-25/30555 04/11/2024 | Serial | 016 |
| Patient Name | Baby PRIYANGSHI BHAGAT | Contact No | 8116590909 |
| Address | B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||