Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07246 | Date 14/10/2022 |
| Token No | SM/24-25/15863 22/04/2024 | Serial | 004 |
| Patient Name | Miss ANSU RAM | Contact No | 9060484072 |
| Address | JOLKOL, SERAMPORE | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||