Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03434 | Date 19/12/2022 |
| Token No | SM/24-25/31099 14/11/2024 | Serial | 011 |
| Patient Name | Miss KIRAN SINGH | Contact No | 9804681041 |
| Address | 37/M JANNAGAR ROAD SERAMPORE M 712202 | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||