Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02376 | Date 02/08/2022 |
| Token No | SM/22-23/1787 02/08/2022 | Serial | 003 |
| Patient Name | Miss SUSMITA SANDAKI | Contact No | 9073572198 |
| Address | 65/25/10/A WEST JANNAGAR ROAD SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||