Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 09850 | Date 03/08/2023 |
| Token No | SM/22-23/11342 03/08/2023 | Serial | 006 |
| Patient Name | Miss SHREYA CHAKRABORTY | Contact No | 7059128714 |
| Address | MAHESH DEBDUT SANGHA CLUB, MAHESH COLONY | Age | 12 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||