Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03161 | Date 16/11/2022 |
| Token No | SM/22-23/4468 16/11/2022 | Serial | 037 |
| Patient Name | Baby DISVANS SHAW | Contact No | 6291469366 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 2 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||