Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02341 | Date 29/07/2022 |
| Token No | SM/22-23/1679 29/07/2022 | Serial | 005 |
| Patient Name | Miss SUSMITA NAYAK | Contact No | 8981184653 |
| Address | SARADA PALLY PRABASHNAGAR SERAMPORE 712203 | Age | 12 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||