Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08149 | Date 04/11/2024 |
| Token No | SM/25-26/962 21/04/2025 | Serial | 057 |
| Patient Name | Baby AYANDILA PAL | Contact No | 8100524158 |
| Address | 22/B/2 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||