Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 03959 | Date 18/03/2023 |
| Token No | SM/22-23/7663 18/03/2023 | Serial | 016 |
| Patient Name | Baby SRIJONI ROY | Contact No | 8961143890 |
| Address | 3/172 MAHESH COLONY SERAMPORE 712202 | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||