Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07196 | Date 27/06/2024 |
| Token No | SM/24-25/23916 27/06/2024 | Serial | 100 |
| Patient Name | Baby JESSIKA KUMARI | Contact No | 8481091913 |
| Address | GHORAMARA PURBAPARA MALLICKPARA SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||