Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02812 | Date 28/09/2022 |
| Token No | SM/22-23/3133 28/09/2022 | Serial | 025 |
| Patient Name | Miss ANU SRIBASTAV | Contact No | |
| Address | HARIJAN BASTI SERAMPORE 712203 | Age | 8 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||