Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02364 | Date 01/08/2022 |
| Token No | SM/22-23/1751 01/08/2022 | Serial | 031 |
| Patient Name | Miss KIRAN KUMARI SHA | Contact No | 9339366711 |
| Address | 65/25/1/1 PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 21 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||