Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09891 | Date 04/09/2025 |
| Token No | SM/25-26/7488 04/09/2025 | Serial | 060 |
| Patient Name | Miss SOHANGY RUIDAS | Contact No | 9830017199 |
| Address | 12/A MUCHI PARA LANE MALLICKPARA SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||