Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03334 | Date 06/12/2022 |
| Token No | SM/22-23/5035 06/12/2022 | Serial | 033 |
| Patient Name | Baby SREEBARNA GHOSH | Contact No | 7278571306 |
| Address | 125/A PRABASHNAGAR SERAMPORE 712249 | Age | 1 M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||