Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06890 | Date 29/05/2024 |
| Token No | SM/25-26/1784 09/05/2025 | Serial | 011 |
| Patient Name | Miss MUSKAN KHATOON | Contact No | 9883635352 |
| Address | 87 NEW MAHESH SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||