Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04868 | Date 18/08/2023 |
| Token No | SM/22-23/12025 18/08/2023 | Serial | 057 |
| Patient Name | Baby BIDHI SHAW | Contact No | 9330556001 |
| Address | 118/2 L N ATTA ROAD CHAMPDANI | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||