Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05996 | Date 03/01/2024 |
| Token No | SM/22-23/17149 03/01/2024 | Serial | 021 |
| Patient Name | Mrs. ANAMIKA NANDI | Contact No | 6290538492 |
| Address | D/150/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||