Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05873 | Date 14/12/2023 |
| Token No | SM/22-23/16537 14/12/2023 | Serial | 046 |
| Patient Name | Baby RIDHITA GHOSH | Contact No | 8017267453 |
| Address | 2/177 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||