Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07357 | Date 03/07/2024 |
| Token No | SM/25-26/7199 01/09/2025 | Serial | 017 |
| Patient Name | Miss SABINA MAJUMDER | Contact No | 9475100476 |
| Address | AMULYA KANAN SERAMPORE 712203 | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||