Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07814 | Date 25/11/2022 |
| Token No | SM/22-23/6650 25/11/2022 | Serial | 029 |
| Patient Name | Baby ANGIRA BHATTACHARYA | Contact No | 9433234911 |
| Address | 12 AKNA CHOWDHURY PARA KLANE | Age | 10 months Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||