Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03278 | Date 29/11/2022 |
| Token No | SM/22-23/5172 10/12/2022 | Serial | 003 |
| Patient Name | Miss PRIYA SINGH | Contact No | 9804681041 |
| Address | 37/M JANNAGAR ROAD SERAMPORE M MAHESH 1 712202 | Age | 11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||