Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05280 | Date 28/09/2023 |
| Token No | SM/22-23/13684 28/09/2023 | Serial | 011 |
| Patient Name | Miss SAYANTI BISWAS | Contact No | 6290996458 |
| Address | 34/A TARAPUKUR LANE SERAMPORE M 712203 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||