Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01670 | Date 25/05/2022 |
| Token No | SM/22-23/110 25/05/2022 | Serial | 022 |
| Patient Name | Baby NAISA KHATOON | Contact No | 9330883848 |
| Address | 14 TARAPUKUR LANE SERAMPORE 712203 | Age | 10 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||