Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01768 | Date 30/05/2022 |
| Token No | SM/22-23/254 30/05/2022 | Serial | 052 |
| Patient Name | Baby ROWNAK CHAUDHARY | Contact No | 7003263248 |
| Address | 105 NEW MAHESH SERAMPORE 712203 | Age | 10 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||