Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05160 | Date 16/09/2023 |
| Token No | SM/22-23/13173 16/09/2023 | Serial | 023 |
| Patient Name | Baby CHOBI DAS | Contact No | |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||