Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05660 | Date 14/11/2023 |
| Token No | SM/22-23/15508 14/11/2023 | Serial | 028 |
| Patient Name | Miss KABEYA JAISWAL | Contact No | 9163124289 |
| Address | 10/Q HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||