Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01934 | Date 17/06/2022 |
| Token No | SM/22-23/598 17/06/2022 | Serial | 003 |
| Patient Name | Baby SANDHYA PANDIT | Contact No | 8777239800 |
| Address | 182 NEW MAHESH MALLICKPARA SERAMPORE 712203 | Age | 4 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||