Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08334 | Date 02/12/2024 |
| Token No | SM/24-25/32135 02/12/2024 | Serial | 053 |
| Patient Name | Baby SUHRITA GHOSH | Contact No | 9681204577 |
| Address | 94 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||