Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02623 | Date 05/09/2022 |
| Token No | SM/22-23/2471 05/09/2022 | Serial | 020 |
| Patient Name | Baby AYOTRI KARMAKAR | Contact No | 7003965313 |
| Address | 24 ER PALLI SERAMPORE 712203 | Age | 1 YEAR 7 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||