Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07858 | Date 06/09/2024 |
| Token No | SM/24-25/27817 06/09/2024 | Serial | 025 |
| Patient Name | Miss TRINA DAS | Contact No | 9875354987 |
| Address | 5 NO COLONY MALLICKPARA SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||