Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05767 | Date 30/11/2023 |
| Token No | SM/24-25/25900 01/08/2024 | Serial | 051 |
| Patient Name | Miss SRUTI CHATTERJEE | Contact No | 9330370536 |
| Address | 14/B SATISH CHANDRA GHOSH LANE SERAMPORE 712202 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||