Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03026 | Date 02/11/2022 |
| Token No | SM/22-23/3965 02/11/2022 | Serial | 016 |
| Patient Name | Miss BRISHTI DAS | Contact No | 7044171560 |
| Address | 8A/2/10 B B GHOSH ROAD SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||