Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 02490 | Date 20/08/2022 |
| Token No | SM/22-23/2130 20/08/2022 | Serial | 001 |
| Patient Name | Miss ALIYA KHATOON | Contact No | 8100646874 |
| Address | SHEORAPHULLY KHATIKPARA G T ROAD HOOGHLY | Age | 10 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||