Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08982 | Date 27/03/2025 |
| Token No | SM/24-25/37546 27/03/2025 | Serial | 052 |
| Patient Name | Miss LISHA ADHIKARY | Contact No | 9831331502 |
| Address | 16/A SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||