Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05336 | Date 04/10/2023 |
| Token No | SM/22-23/13933 04/10/2023 | Serial | 050 |
| Patient Name | Baby ASMITA SWARNOKAR | Contact No | 8100586056 |
| Address | SUKANTA PALLY SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||