Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02472 | Date 17/08/2022 |
| Token No | SM/22-23/2078 17/08/2022 | Serial | 022 |
| Patient Name | Miss PUNAM KUMARI SHAW | Contact No | 9088454993 |
| Address | 164 NEW MAHESH SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||