Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03408 | Date 15/12/2022 |
| Token No | SM/22-23/5328 15/12/2022 | Serial | 018 |
| Patient Name | Miss DUTRIJA MONDAL | Contact No | 9330409653 |
| Address | 38E B B GHOSH ROAD SERAMPORE 712203 | Age | 6 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||