Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03214 | Date 22/11/2022 |
| Token No | SM/22-23/4623 22/11/2022 | Serial | 013 |
| Patient Name | Miss AKANKSHA GIRI | Contact No | 9102301544 |
| Address | 165/A NEW MAHESH SERAMPORE 712203 | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||