Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06539 | Date 04/04/2024 |
| Token No | SM/24-25/20547 04/04/2024 | Serial | 032 |
| Patient Name | Mrs. GOURIRANI BHATTACHARJEE | Contact No | 8420037511 |
| Address | 30/F/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||