Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00826 | Date 28/01/2020 |
| Token No | SM/22-23/4017 03/11/2022 | Serial | 031 |
| Patient Name | Miss SUBHASREE SIL | Contact No | 9874996269 |
| Address | 165/B PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 11 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||