Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08021 | Date 14/10/2024 |
| Token No | SM/24-25/29442 14/10/2024 | Serial | 047 |
| Patient Name | Baby TANUJA KHATUN | Contact No | 8240000521 |
| Address | MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||