Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04586 | Date 24/07/2023 |
| Token No | SM/22-23/10873 24/07/2023 | Serial | 041 |
| Patient Name | Baby ASHIYA KHATOON | Contact No | 6290477140 |
| Address | 9 MALLICKPARA SERAMPORE 712203 | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||