Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01260 | Date 21/03/2020 |
| Token No | SM/22-23/11395 05/08/2023 | Serial | 012 |
| Patient Name | Baby PRIYA SAHA | Contact No | |
| Address | SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||