Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07954 | Date 26/09/2024 |
| Token No | SM/24-25/28787 26/09/2024 | Serial | 042 |
| Patient Name | Baby SIDDIKA KHATOON | Contact No | 9330429934 |
| Address | 4 NO CHELE KHANA ROAD MALLICKPARA SERAMPORE 712203 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||