Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02919 | Date 17/10/2022 |
| Token No | SM/22-23/7100 28/02/2023 | Serial | 023 |
| Patient Name | Baby MEGHA ROY | Contact No | |
| Address | 10/B HARIPARA LANE SERAMPORE 712203 | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||