Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03707 | Date 02/02/2023 |
| Token No | SM/22-23/6520 02/02/2023 | Serial | 043 |
| Patient Name | Baby ROSHMI HELA | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||