Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06601 | Date 20/04/2024 |
| Token No | SM/24-25/20955 20/04/2024 | Serial | 054 |
| Patient Name | Mrs. NASIBA KHATOON | Contact No | 6289874228 |
| Address | 16 T C GOSWAMI STREET SERAMPORE 712201 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||