Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03542 | Date 30/12/2022 |
| Token No | SM/22-23/5813 30/12/2022 | Serial | 045 |
| Patient Name | Miss ARTI KUMARI | Contact No | 6290179023 |
| Address | 91 NEW MAHESH SERAMPORE 712203 | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 33 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||