Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01277 | Date 25/03/2020 |
| Token No | SM/22-23/2271 25/08/2022 | Serial | 003 |
| Patient Name | Miss RASHI DEY | Contact No | 9674784016 |
| Address | 26/C PRABASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||