Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07681 | Date 14/08/2024 |
| Token No | SM/25-26/11722 09/12/2025 | Serial | 019 |
| Patient Name | Miss AYUSHI DAS | Contact No | 6290027433 |
| Address | 113 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||