Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 05737 | Date 25/11/2023 |
| Token No | SM/22-23/15829 25/11/2023 | Serial | 023 |
| Patient Name | Baby SWEETY BAG | Contact No | 6289373792 |
| Address | JITEN LAHIRI ROAD SERAMPORE 712201 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||