Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03223 | Date 23/11/2022 |
| Token No | SM/22-23/4656 23/11/2022 | Serial | 013 |
| Patient Name | Miss BEAUTY BHARTI | Contact No | |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 7 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||