Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03081 | Date 07/11/2022 |
| Token No | SM/22-23/4162 07/11/2022 | Serial | 061 |
| Patient Name | Baby RICHITA RUBIDAS | Contact No | |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 3 YEAR 3 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||