Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03379 | Date 12/12/2022 |
| Token No | SM/22-23/5201 12/12/2022 | Serial | 012 |
| Patient Name | Baby ROHITA SHIULI | Contact No | 9163191753 |
| Address | 3G DCRUZE GARDEN LANE SERAMPORE 712203 | Age | 5 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||