Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03113 | Date 10/11/2022 |
| Token No | SM/22-23/4278 10/11/2022 | Serial | 051 |
| Patient Name | Baby GOURAB SINGH | Contact No | 8409146566 |
| Address | 8/B/7 PRABASHNAGAR SERAMPORE 712249 | Age | 3 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||