Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02880 | Date 13/10/2022 |
| Token No | SM/22-23/3407 13/10/2022 | Serial | 013 |
| Patient Name | Miss KOYEL GHOSH | Contact No | 8910659141 |
| Address | 121A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||