Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02511 | Date 22/08/2022 |
| Token No | SM/22-23/2175 22/08/2022 | Serial | 029 |
| Patient Name | Baby SADIA ARZOO | Contact No | 9123663995 |
| Address | 5 NO MUSLIMPARA SERAMPORE MALLICKPARA 712203 | Age | 9 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||