Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03507 | Date 28/12/2022 |
| Token No | SM/22-23/5685 28/12/2022 | Serial | 003 |
| Patient Name | Miss RIYA SINGH | Contact No | 9330943386 |
| Address | B B GHOSH ROAD SERAMPORE 712249 | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||