Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02925 | Date 17/10/2022 |
| Token No | SM/22-23/3887 31/10/2022 | Serial | 024 |
| Patient Name | Baby TONNY SAHA | Contact No | 9330585386 |
| Address | 1/21 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||