Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03318 | Date 05/12/2022 |
| Token No | SM/22-23/4973 05/12/2022 | Serial | 027 |
| Patient Name | Miss RISHITA DAS | Contact No | 8478001629 |
| Address | 9/A/1 D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||