Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04373 | Date 24/06/2023 |
| Token No | SM/22-23/9891 24/06/2023 | Serial | 025 |
| Patient Name | Baby ANUPRIYA RAY | Contact No | 6291672024 |
| Address | 65/25/55 PRAVASHNAGAR SERAMPORE 712249 | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||