Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05826 | Date 09/12/2023 |
| Token No | SM/22-23/16300 09/12/2023 | Serial | 033 |
| Patient Name | Baby AASTHI SHAW | Contact No | 9699321065 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||