Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01480 | Date 25/04/2020 |
| Token No | SM/22-23/5142 09/12/2022 | Serial | 025 |
| Patient Name | Baby TULIKA DEY | Contact No | 9007824945 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||