Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04397 | Date 30/06/2023 |
| Token No | SM/22-23/10004 30/06/2023 | Serial | 044 |
| Patient Name | Baby RIYA DAS | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||