Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06406 | Date 12/03/2024 |
| Token No | SM/25-26/752 16/04/2025 | Serial | 067 |
| Patient Name | Miss ARFA KHATUN | Contact No | 6282320875 |
| Address | 26/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||