Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03276 | Date 28/11/2022 |
| Token No | SM/22-23/4836 29/11/2022 | Serial | 008 |
| Patient Name | Miss NAMITA DAS | Contact No | 8910710364 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712249 | Age | 16 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||