Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07952 | Date 26/09/2024 |
| Token No | SM/24-25/28778 26/09/2024 | Serial | 033 |
| Patient Name | Miss SONAI MALLIK | Contact No | 8274885543 |
| Address | 24-A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||