Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03609 | Date 14/01/2023 |
| Token No | SM/22-23/6096 14/01/2023 | Serial | 013 |
| Patient Name | Miss PAYEL GIRI | Contact No | 9831575436 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 10 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||