Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06084 | Date 19/01/2024 |
| Token No | SM/24-25/33123 23/12/2024 | Serial | 025 |
| Patient Name | Miss PURNIMA RABIDAS | Contact No | 7603083992 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||