Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08264 | Date 23/11/2024 |
| Token No | SM/24-25/32702 12/12/2024 | Serial | 040 |
| Patient Name | Miss ASHMI BANIK | Contact No | 8777680512 |
| Address | 34/B/33 B B GHOSH ROAD SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||