Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00179 | Date 17/09/2019 |
| Token No | SM/22-23/19362 04/03/2024 | Serial | 017 |
| Patient Name | Mrs. KALYANI BHATTACHARJEE | Contact No | 8013379317 |
| Address | 50 G T ROAD SERAMPORE 712203 | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||