Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04322 | Date 13/06/2023 |
| Token No | SM/22-23/9545 13/06/2023 | Serial | 023 |
| Patient Name | Miss SHIKHA DAS | Contact No | 8444820653 |
| Address | 235 NEW MAHESH SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||