Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07094 | Date 22/06/2024 |
| Token No | SM/24-25/23547 22/06/2024 | Serial | 026 |
| Patient Name | Baby AMAIRA HASAN | Contact No | 9051165628 |
| 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 | |||