Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05761 | Date 30/11/2023 |
| Token No | SM/22-23/15973 30/11/2023 | Serial | 021 |
| Patient Name | Baby KAINATH PARVEEN | Contact No | 8420883699 |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||