Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04682 | Date 01/08/2023 |
| Token No | SM/22-23/11215 01/08/2023 | Serial | 056 |
| Patient Name | Miss TAMANYA MAHATO | Contact No | 9748562191 |
| Address | 80 NEW MAHESH SERAMPORE 712203 | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||