Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05741 | Date 25/11/2023 |
| Token No | SM/22-23/15847 25/11/2023 | Serial | 041 |
| Patient Name | Baby SRINIKA DEY | Contact No | 7980123238 |
| Address | 22/Y/21 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||