Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02220 | Date 14/07/2022 |
| Token No | SM/22-23/3090 26/09/2022 | Serial | 059 |
| Patient Name | Miss ANANYA GHOSH | Contact No | 8609620522 |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||