Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03522 | Date 28/12/2022 |
| Token No | SM/22-23/6153 18/01/2023 | Serial | 012 |
| Patient Name | Baby MISTI SINGH | Contact No | 8873637173 |
| Address | 65/A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 3 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||