Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08216 | Date 16/11/2024 |
| Token No | SM/24-25/31225 16/11/2024 | Serial | 016 |
| Patient Name | Miss MEGHA SINGH | Contact No | 8697362287 |
| Address | D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||