Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07633 | Date 09/08/2024 |
| Token No | SM/24-25/26367 09/08/2024 | Serial | 067 |
| Patient Name | Miss RABIYA KHATOON | Contact No | 7044731250 |
| Address | 17 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||