Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03434 | Date 19/12/2022 |
| Token No | SM/22-23/5408 19/12/2022 | Serial | 002 |
| Patient Name | Miss KIRAN SINGH | Contact No | 9804681041 |
| Address | 37/M JANNAGAR ROAD SERAMPORE M 712202 | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||