Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04068 | Date 18/04/2023 |
| Token No | SM/22-23/8612 04/05/2023 | Serial | 032 |
| Patient Name | Mrs. BANASREE DAS SINGH | Contact No | 9674249418 |
| Address | 61/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||