Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02444 | Date 12/08/2022 |
| Token No | SM/25-26/1616 06/05/2025 | Serial | 021 |
| Patient Name | Baby SIDDHI KOIRI | Contact No | 6291682532 |
| Address | SUKANTA PALLY SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||