Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03381 | Date 12/12/2022 |
| Token No | SM/22-23/5216 12/12/2022 | Serial | 027 |
| Patient Name | Miss ANUSHKA BERA | Contact No | 8697009533 |
| Address | 3/D DCRUZE GARDEN LANE SERAMPORE 712203 | Age | 5 Y 2 M Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||