Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03666 | Date 30/01/2023 |
| Token No | SM/22-23/6363 30/01/2023 | Serial | 027 |
| Patient Name | Miss RISHMA NAYEK | Contact No | |
| Address | SERAMPORE | Age | 15 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||