Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02288 | Date 20/07/2022 |
| Token No | SM/22-23/6953 20/02/2023 | Serial | 030 |
| Patient Name | Miss PRIYA KUMARI | Contact No | 9137382725 |
| Address | 95 NEW MAHESH SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||