Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02273 | Date 19/07/2022 |
| Token No | SM/25-26/7812 11/09/2025 | Serial | 019 |
| Patient Name | Miss KRITI KUMARI | Contact No | 7450916047 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||