Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07044 | Date 19/06/2024 |
| Token No | SM/24-25/23358 19/06/2024 | Serial | 050 |
| Patient Name | Baby MOUSUMI KUMAR | Contact No | 7890232491 |
| Address | 22/2 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||