Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05958 | Date 27/12/2023 |
| Token No | SM/22-23/16969 27/12/2023 | Serial | 058 |
| Patient Name | Baby RESA DEBSHARMA | Contact No | 9804340244 |
| Address | 20/B/A PROVASNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||