Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02184 | Date 07/07/2022 |
| Token No | SM/22-23/1205 07/07/2022 | Serial | 027 |
| Patient Name | Miss SNEHA KHATOON | Contact No | 6290855622 |
| Address | 32A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 8 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||