Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06153 | Date 02/02/2024 |
| Token No | SM/22-23/18080 02/02/2024 | Serial | 024 |
| Patient Name | Baby SAINAZ KHATUN | Contact No | 9874658107 |
| Address | 13 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||