Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07331 | Date 03/07/2024 |
| Token No | SM/24-25/24286 03/07/2024 | Serial | 007 |
| Patient Name | Miss KABIYA JAISWAL | Contact No | |
| Address | 10/Q HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||