Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05766 | Date 30/11/2023 |
| Token No | SM/24-25/24024 29/06/2024 | Serial | 005 |
| Patient Name | Mrs. MINATI MUKHERJEE | Contact No | 9874665317 |
| Address | 14/B SATISH CHANDRA GHOSH LANE SERAMPORE 712202 | Age | 86 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||