Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03211 | Date 22/11/2022 |
| Token No | SM/22-23/4618 22/11/2022 | Serial | 008 |
| Patient Name | Miss TASMEETA SINGH | Contact No | |
| Address | 191/2 NO SERAMPORE COLONY SERAMPORE 712203 | Age | 12 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||