Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01865 | Date 10/06/2022 |
| Token No | SM/22-23/444 10/06/2022 | Serial | 004 |
| Patient Name | Baby SITAL NAYEK | Contact No | 9088798450 |
| Address | MINIUS QUARTER SERAMPORE 712203 | Age | 4 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||