Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03417 | Date 15/12/2022 |
| Token No | SM/22-23/5360 15/12/2022 | Serial | 050 |
| Patient Name | Miss RISHITA KHATUN | Contact No | 8230876133 |
| Address | B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 12 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||