Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03473 | Date 22/12/2022 |
| Token No | SM/22-23/5557 22/12/2022 | Serial | 026 |
| Patient Name | Miss DIYA DAS | Contact No | 8583814563 |
| Address | 43/46/L PRABASHNAGAR SERAMPORE 712249 | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||