Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02582 | Date 30/08/2022 |
| Token No | SM/22-23/2364 30/08/2022 | Serial | 007 |
| Patient Name | Miss SRIJITA MUKHERJEE | Contact No | 8584886460 |
| Address | 30/J/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 10 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||