Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06405 | Date 11/03/2024 |
| Token No | SM/22-23/19697 11/03/2024 | Serial | 051 |
| Patient Name | Mrs. PARUL DAS | Contact No | 7998312048 |
| Address | 171 RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||