Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02924 | Date 17/10/2022 |
| Token No | SM/22-23/3566 17/10/2022 | Serial | 068 |
| Patient Name | Miss SRUTI KOLEY | Contact No | 9331072693 |
| Address | 14 TAKUR DAS BABU LANE SERAMPORE | Age | 17 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||