Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03164 | Date 17/11/2022 |
| Token No | SM/22-23/4478 17/11/2022 | Serial | 001 |
| Patient Name | Baby PRATUSHA MAJHI | Contact No | 9883122390 |
| Address | 13/14 B B GHOSH ROAD SERAMPORE 712203 | Age | 1 YEAR 6 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||