Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08285 | Date 25/11/2024 |
| Token No | SM/24-25/31865 27/11/2024 | Serial | 014 |
| Patient Name | Mrs. TANUSRI CHATTARAJ | Contact No | 9088657028 |
| Address | 31/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||