Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06279 | Date 13/02/2024 |
| Token No | SM/22-23/18597 13/02/2024 | Serial | 023 |
| Patient Name | Baby MARIAM KHAN | Contact No | 6289152045 |
| Address | 19 NO MALLICKPARA LANE SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||