Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03493 | Date 24/12/2022 |
| Token No | SM/22-23/6272 25/01/2023 | Serial | 012 |
| Patient Name | Baby LACHMI DAS | Contact No | 9163171620 |
| Address | 60 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||