Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12377 | Date 23/11/2024 |
| Token No | SM/24-25/19853 23/11/2024 | Serial | 011 |
| Patient Name | Baby SHRUTIKA BHATTACHARJEE | Contact No | 8013111766 |
| Address | 23 N.N. COLONY | Age | 1 yr 6 mnths Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||