Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06018 | Date 06/01/2024 |
| Token No | SM/24-25/21312 29/04/2024 | Serial | 028 |
| Patient Name | Mrs. KALYANI SADHUKHAN | Contact No | 7003966994 |
| Address | 41 TARAPUKUR LANE SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||