Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03553 | Date 02/01/2023 |
| Token No | SM/22-23/5850 02/01/2023 | Serial | 031 |
| Patient Name | Miss BAISHALI DAS | Contact No | 8584963976 |
| Address | 95/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 9 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||