Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02371 | Date 01/08/2022 |
| Token No | SM/22-23/1770 01/08/2022 | Serial | 050 |
| Patient Name | Miss NEHA KUMARI MAHATO | Contact No | 6200277071 |
| Address | SIMLA MALLICKPARA SERAMPORE 712203 | Age | 11 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||