Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03173 | Date 17/11/2022 |
| Token No | SM/22-23/4498 17/11/2022 | Serial | 021 |
| Patient Name | Mrs. KAMAL MUKHI DEBI | Contact No | 9874712068 |
| Address | 9/A/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 70 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||