Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06868 | Date 28/05/2024 |
| Token No | SM/24-25/23810 26/06/2024 | Serial | 086 |
| Patient Name | Miss PIHUNA DUTTA | Contact No | 9123914202 |
| Address | 10 DULEYPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||