Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03241 | Date 24/11/2022 |
| Token No | SM/22-23/4706 24/11/2022 | Serial | 027 |
| Patient Name | Mrs. BAISAKHEE PAL | Contact No | 9874117512 |
| Address | 4 NO TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||