Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03346 | Date 08/12/2022 |
| Token No | SM/22-23/5083 08/12/2022 | Serial | 009 |
| Patient Name | Miss SRUTI DHARA | Contact No | 8420706296 |
| Address | 65/A/14 BIBEK PALLY SERAMPORE 712203 | Age | 9 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||