Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07152 | Date 26/06/2024 |
| Token No | SM/24-25/23798 26/06/2024 | Serial | 074 |
| Patient Name | Baby PALLABI DAS | Contact No | 9836563586 |
| Address | 20 BAZAR BYE LANE SERAMPORE 712201 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||