Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02428 | Date 10/08/2022 |
| Token No | SM/22-23/1936 10/08/2022 | Serial | 034 |
| Patient Name | Baby PIU DAS | Contact No | 7890271379 |
| Address | PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 5 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||