Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02026 | Date 23/06/2022 |
| Token No | SM/22-23/806 23/06/2022 | Serial | 055 |
| Patient Name | Mrs. RIYA PAL | Contact No | 7044134907 |
| Address | 107/E/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 13 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||