Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04315 | Date 12/06/2023 |
| Token No | SM/22-23/9515 12/06/2023 | Serial | 034 |
| Patient Name | Baby NITYA JHA | Contact No | 7836865968 |
| Address | 9/A/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||