Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03206 | Date 19/11/2022 |
| Token No | SM/22-23/5353 15/12/2022 | Serial | 043 |
| Patient Name | Baby MOLLY DIKSHIT | Contact No | 7596824473 |
| Address | 32 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||