Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03763 | Date 16/02/2023 |
| Token No | SM/22-23/14979 02/11/2023 | Serial | 001 |
| Patient Name | Baby ROHINI DAS | Contact No | 9681901466 |
| Address | 121/1 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 8 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||