Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02433 | Date 10/08/2022 |
| Token No | SM/22-23/3851 29/10/2022 | Serial | 025 |
| Patient Name | Baby ASIYA KHATUN | Contact No | 9051778242 |
| Address | 9 MALLICKPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||