Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04413 | Date 03/07/2023 |
| Token No | SM/22-23/10071 03/07/2023 | Serial | 014 |
| Patient Name | Baby RITTIKA MAITY | Contact No | 7450883292 |
| Address | 38/A B B GHOSH ROAD SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||