Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02659 | Date 09/09/2022 |
| Token No | SM/22-23/2594 09/09/2022 | Serial | 001 |
| Patient Name | Baby PIYALI GHOSH | Contact No | |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||