Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06361 | Date 28/02/2024 |
| Token No | SM/22-23/19187 28/02/2024 | Serial | 056 |
| Patient Name | Baby SRIJA HAZRA | Contact No | 8620057283 |
| Address | 8 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||