Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01854 | Date 08/06/2022 |
| Token No | SM/22-23/3823 28/10/2022 | Serial | 043 |
| Patient Name | Miss SANHITA BHOWMICK | Contact No | 9477377439 |
| Address | 26/F/5 PRABASHNAGAR SERAMPORE 712249 | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||