Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05681 | Date 17/11/2023 |
| Token No | SM/22-23/15606 17/11/2023 | Serial | 039 |
| Patient Name | Mrs. ANGURBALA GOPE | Contact No | 7890733398 |
| Address | 168 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 83 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||