Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02831 | Date 30/09/2022 |
| Token No | SM/22-23/7452 11/03/2023 | Serial | 014 |
| Patient Name | Miss ADWIJA RUIDAS | Contact No | 6290498987 |
| Address | 8/B DR B R AMBEDKAR LANE MALLICKPARA SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||