Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05069 | Date 05/09/2023 |
| Token No | SM/22-23/12759 05/09/2023 | Serial | 032 |
| Patient Name | Baby PARI MAHATO | Contact No | 9748562191 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||