Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02475 | Date 17/08/2022 |
| Token No | SM/22-23/2086 17/08/2022 | Serial | 030 |
| Patient Name | Baby PARI JHA | Contact No | 8335815793 |
| Address | SUKANTA PALLY SERAMPORE 712203 | Age | 2 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||