Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02943 | Date 20/10/2022 |
| Token No | SM/22-23/10486 13/07/2023 | Serial | 025 |
| Patient Name | Baby PRISHA SHAW | Contact No | 6289852565 |
| Address | 220 NEW MAHESH SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||