Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01595 | Date 20/05/2022 |
| Token No | SM/22-23/7 20/05/2022 | Serial | 005 |
| Patient Name | Baby RISHIKA TA | Contact No | 8478001629 |
| Address | 9/A B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 5 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||