Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02385 | Date 03/08/2022 |
| Token No | SM/22-23/1819 03/08/2022 | Serial | 012 |
| Patient Name | Miss KHUSHI SHAW | Contact No | 9748194876 |
| Address | PRABASHNAGAR HINDI SCHOOL SERAMPORE 712249 | Age | 11 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||