Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04634 | Date 27/07/2023 |
| Token No | SM/22-23/11048 27/07/2023 | Serial | 032 |
| Patient Name | Baby ANU PAN | Contact No | 9330575053 |
| Address | GHORAMARA P PURBAPARA SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||