Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02597 | Date 01/09/2022 |
| Token No | SM/22-23/5622 24/12/2022 | Serial | 023 |
| Patient Name | Miss SATHI MISTRI | Contact No | 9062627742 |
| Address | MALIR GATE MALLICKPARA SERAMPORE 712203 | Age | 12 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||