Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02589 | Date 31/08/2022 |
| Token No | SM/22-23/2380 31/08/2022 | Serial | 015 |
| Patient Name | Miss KHUSI SHOW | Contact No | 9748194876 |
| Address | 3 MASJID ROAD RISHRA HOOGHLY 712249 | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||