Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05864 | Date 13/12/2023 |
| Token No | SM/22-23/16646 18/12/2023 | Serial | 039 |
| Patient Name | Mrs. BHARATI RANI SAMADDAR | Contact No | 7980880497 |
| Address | A/10/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||