Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03515 | Date 28/12/2022 |
| Token No | SM/22-23/5708 28/12/2022 | Serial | 026 |
| Patient Name | Baby PIHU BARMA | Contact No | 8572962511 |
| Address | 153 NEW MAHESH SERAMPORE 712203 | Age | 5 M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||