Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02950 | Date 20/10/2022 |
| Token No | SM/22-23/3658 20/10/2022 | Serial | 024 |
| Patient Name | Miss ANEWESHA KANTI | Contact No | 9432495829 |
| Address | 9/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||