Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05056 | Date 04/09/2023 |
| Token No | SM/22-23/12715 04/09/2023 | Serial | 065 |
| Patient Name | Mrs. AHANA DAS | Contact No | 9875532388 |
| Address | 101/E G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||