Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06476 | Date 23/03/2024 |
| Token No | SM/22-23/20169 23/03/2024 | Serial | 059 |
| Patient Name | Baby ANKITA MAJHI | Contact No | 9088028679 |
| Address | 10/1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||