Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02571 | Date 26/08/2022 |
| Token No | SM/22-23/2334 26/08/2022 | Serial | 029 |
| Patient Name | Master DIPAK MALI | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712203 | Age | 3 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||