Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02949 | Date 20/10/2022 |
| Token No | SM/22-23/3657 20/10/2022 | Serial | 023 |
| Patient Name | Mrs. SOMA CHAKRABORTY | Contact No | 8981232574 |
| Address | 33/X TARAPUKUR GOVT QUARTERS SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||