Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04272 | Date 03/06/2023 |
| Token No | SM/22-23/9298 03/06/2023 | Serial | 017 |
| Patient Name | Mrs. SOFIYA RAY | Contact No | 9088657182 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 7 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||