Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02822 | Date 29/09/2022 |
| Token No | SM/22-23/3167 29/09/2022 | Serial | 031 |
| Patient Name | Baby JANVI SHARMA | Contact No | 7903759582 |
| Address | 13/5 SERAMPORE 712203 | Age | 6 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||