Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05060 | Date 04/09/2023 |
| Token No | SM/24-25/23369 19/06/2024 | Serial | 061 |
| Patient Name | Mrs. ARPITA DAS | Contact No | 9875532388 |
| Address | 101/E G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||