Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02092 | Date 29/06/2022 |
| Token No | SM/22-23/4317 11/11/2022 | Serial | 030 |
| Patient Name | Baby PIHU MISHRA | Contact No | 9088770763 |
| Address | 35 S S ROAD LALKUTHI PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||