Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02197 | Date 13/07/2022 |
| Token No | SM/22-23/10188 05/07/2023 | Serial | 007 |
| Patient Name | Miss ANU KUMARI | Contact No | 8481047538 |
| Address | 10/B HARIPARA MALLICKPARA SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||