Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07341 | Date 03/07/2024 |
| Token No | SM/24-25/24323 03/07/2024 | Serial | 044 |
| Patient Name | Miss BAISHALI HALDER | Contact No | 7980023642 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||