Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03239 | Date 24/11/2022 |
| Token No | SM/22-23/4697 24/11/2022 | Serial | 018 |
| Patient Name | Miss NANDINI CHOWDHURY | Contact No | 9432179165 |
| Address | 65/7/8/A PRABASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||