Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03669 | Date 30/01/2023 |
| Token No | SM/22-23/12373 26/08/2023 | Serial | 019 |
| Patient Name | Mrs. IRA SARKAR | Contact No | 9330143994 |
| Address | 121/1 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||