Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03418 | Date 15/12/2022 |
| Token No | SM/22-23/6279 25/01/2023 | Serial | 019 |
| Patient Name | Miss SHIBANI THAKUR | Contact No | 7044679877 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||