Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00145 | Date 16/09/2019 |
| Token No | SM/22-23/5789 30/12/2022 | Serial | 021 |
| Patient Name | Miss KHUSBU SINGH | Contact No | 6291084616 |
| Address | 13 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||