Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02919 | Date 17/10/2022 |
| Token No | SM/22-23/3543 17/10/2022 | Serial | 045 |
| Patient Name | Baby MEGHA ROY | Contact No | |
| Address | 10/B HARIPARA LANE SERAMPORE 712203 | Age | 5 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||