Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05624 | Date 08/11/2023 |
| Token No | SM/22-23/15338 08/11/2023 | Serial | 051 |
| Patient Name | Baby VRITIKA SINGH | Contact No | 9674249418 |
| Address | 61/X TARAPUKUR GOVT QARTER SERAMPORE 712203 | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||