Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08457 | Date 26/12/2024 |
| Token No | SM/24-25/34717 27/01/2025 | Serial | 028 |
| Patient Name | Miss SREEJA DAS | Contact No | 8697360868 |
| Address | 14/B K P LANE SERAMPORE 712201 | Age | 7 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||