Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03624 | Date 20/01/2023 |
| Token No | SM/22-23/6389 30/01/2023 | Serial | 053 |
| Patient Name | Baby PAPIYA BAG | Contact No | 7602894450 |
| Address | 13 TARAPUKUR LANE SERAMPORE 712203 | Age | 4 Y 2 M Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||