Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02153 | Date 06/07/2022 |
| Token No | SM/22-23/8013 06/04/2023 | Serial | 012 |
| Patient Name | Baby ROJI ROSUYA | Contact No | 7980777032 |
| Address | B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||