Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05486 | Date 20/10/2023 |
| Token No | SM/24-25/30974 12/11/2024 | Serial | 046 |
| Patient Name | Miss AYUSHI PRIYA | Contact No | 7044764496 |
| Address | 13/40 B B GHOSH ROAD SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 28 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||