Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04799 | Date 11/08/2023 |
| Token No | SM/22-23/11723 11/08/2023 | Serial | 043 |
| Patient Name | Baby RITASHA NAYEK | Contact No | 6290856767 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 5 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||