Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08979 | Date 27/03/2025 |
| Token No | SM/24-25/37517 27/03/2025 | Serial | 023 |
| Patient Name | Miss RAI RUIDAS | Contact No | 9088788097 |
| Address | 10/A DR B R AMBEDKAR LANE SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||