Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08100 | Date 26/10/2024 |
| Token No | SM/24-25/30128 26/10/2024 | Serial | 020 |
| Patient Name | Mrs. CHAITALI SARKAR | Contact No | 6291879143 |
| Address | 45/C JHIL BAGAN PASCHIM G T ROAD SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||