Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03003 | Date 31/10/2022 |
| Token No | SM/22-23/3870 31/10/2022 | Serial | 007 |
| Patient Name | Baby OLIVIA CHAKRABORTY | Contact No | 9007228676 |
| Address | 33/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 5 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||