Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03238 | Date 24/11/2022 |
| Token No | SM/22-23/9072 24/05/2023 | Serial | 006 |
| Patient Name | Miss SANDHYA CHOUDHURI | Contact No | 8100368423 |
| Address | 29/C PRABASHNAGAR SERAMPORE 712249 | Age | 9 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||