Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 04198 | Date 18/05/2023 |
| Token No | SM/24-25/25972 03/08/2024 | Serial | 024 |
| Patient Name | Mrs. SUPARNA CHATTERJEE | Contact No | 7980134012 |
| Address | 14/B SATISH CHANDRA GHOSH LANE MAHESH 712202 | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||