Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08407 | Date 17/12/2024 |
| Token No | SM/24-25/32881 17/12/2024 | Serial | 033 |
| Patient Name | Baby MISTI PRADHAN | Contact No | 8100142274 |
| Address | A/2 TARAPUKUR LANE SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||