Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01617 | Date 23/05/2022 |
| Token No | SM/22-23/7761 23/03/2023 | Serial | 025 |
| Patient Name | Baby KRITIKA SINGH | Contact No | 6291084616 |
| Address | HARIJAN BASTI B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||