Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06943 | Date 05/06/2024 |
| Token No | SM/24-25/22749 05/06/2024 | Serial | 052 |
| Patient Name | Mrs. MANJU CHATTERJEE | Contact No | 9836321642 |
| Address | B4/105 SUBASH NAGAR HOUSING COMPLEX 161 M J ROAD SERAMPORE PRAVASHNAGAR 712249 | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||