Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02089 | Date 29/06/2022 |
| Token No | SM/22-23/2923 22/09/2022 | Serial | 012 |
| Patient Name | Miss ARADHYA KUMARI GIRI | Contact No | 6289967944 |
| Address | 266 NEW MAHESH SERAMPORE HOOGHLY 712203 | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||