Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07062 | Date 20/06/2024 |
| Token No | SM/24-25/23441 20/06/2024 | Serial | 069 |
| Patient Name | Baby SUPRIYA KHATOON | Contact No | 8944911569 |
| Address | 88 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||