Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05917 | Date 24/05/2022 |
| Token No | SM/24-25/19417 23/10/2024 | Serial | 006 |
| Patient Name | Mrs. NISHA RANI ROY | Contact No | 9874754179 |
| Address | L B S ROAD, SERAMPORE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||