Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03877 | Date 04/03/2023 |
| Token No | SM/22-23/7282 04/03/2023 | Serial | 037 |
| Patient Name | Baby PARI DFAS | Contact No | |
| Address | KATAPOL SERAMPORE | Age | 3 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||