Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06291 | Date 16/02/2024 |
| Token No | SM/22-23/18665 16/02/2024 | Serial | 019 |
| Patient Name | Baby JAGKERITI DAS | Contact No | 6291873001 |
| Address | 43/18/B/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||