Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04125 | Date 02/05/2023 |
| Token No | SM/22-23/8527 02/05/2023 | Serial | 011 |
| Patient Name | Baby RIDDHI RAJBHAR | Contact No | |
| Address | HINDI SCHOOL PRABASHNAGAR SERAMPORE 712249 | Age | 4 Y 6 M Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||