Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07800 | Date 02/09/2024 |
| Token No | SM/24-25/27525 02/09/2024 | Serial | 061 |
| Patient Name | Miss PRIYANGSHA BISWAS | Contact No | 6289514562 |
| Address | 14/A HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||