Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07159 | Date 26/06/2024 |
| Token No | SM/24-25/29662 19/10/2024 | Serial | 039 |
| Patient Name | Mrs. RAKHI NATH | Contact No | 9088661935 |
| Address | 13 G T ROAD HUMOR BAGAN MALLICKPARA SERAMPORE 712203 | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||