Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02775 | Date 24/09/2022 |
| Token No | SM/22-23/3012 24/09/2022 | Serial | 021 |
| Patient Name | Miss SUNAKSHI GIRI | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 8 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||