Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01422 | Date 15/04/2020 |
| Token No | SM/22-23/6939 20/02/2023 | Serial | 016 |
| Patient Name | Miss RIYA KUMARI SINGH | Contact No | 8337074423 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 6 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||