Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03518 | Date 28/12/2022 |
| Token No | SM/22-23/7015 23/02/2023 | Serial | 016 |
| Patient Name | Miss SILPI KUMARI | Contact No | 7439368743 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||