Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03657 | Date 28/01/2023 |
| Token No | SM/22-23/6310 28/01/2023 | Serial | 016 |
| Patient Name | Miss PAYEL KUMAR | Contact No | 9903335299 |
| Address | 43/D PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 11 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||