Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04355 | Date 17/06/2023 |
| Token No | SM/22-23/9708 17/06/2023 | Serial | 037 |
| Patient Name | Baby FARHIN KHATOON | Contact No | 8240373375 |
| Address | 91/D MALLICKPARA SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||