Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02525 | Date 22/08/2022 |
| Token No | SM/22-23/2206 22/08/2022 | Serial | 060 |
| Patient Name | Baby ANKITA DAS | Contact No | 8420816499 |
| Address | 110/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||