Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02923 | Date 17/10/2022 |
| Token No | SM/22-23/9371 08/06/2023 | Serial | 012 |
| Patient Name | Mrs. DOLA MAJUMDAR | Contact No | 9088450173 |
| Address | 192/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||