Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07155 | Date 26/06/2024 |
| Token No | SM/24-25/23807 26/06/2024 | Serial | 083 |
| Patient Name | Miss TIYASA SARKAR | Contact No | 7980739403 |
| Address | 23/A G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||