Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06474 | Date 23/03/2024 |
| Token No | SM/22-23/20152 23/03/2024 | Serial | 042 |
| Patient Name | Miss RITIKA SAHA | Contact No | 7044763186 |
| Address | 65/A/1/K F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||