Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03691 | Date 01/02/2023 |
| Token No | SM/24-25/34327 18/01/2025 | Serial | 030 |
| Patient Name | Miss TRISHA MISTRI | Contact No | 7980837759 |
| Address | CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 135CM cm |
| Diagnosis | |||