Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03158 | Date 16/11/2022 |
| Token No | SM/22-23/4463 16/11/2022 | Serial | 032 |
| Patient Name | Baby PAPIYA PAL | Contact No | 7602894450 |
| Address | 13 TARAPUKUR MALLICKPARA SERAMPORE 712203 | Age | 4 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||