Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06252 | Date 10/02/2024 |
| Token No | SM/24-25/34013 11/01/2025 | Serial | 009 |
| Patient Name | Miss GAYETRI GHARAI | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||