Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00352 | Date 08/11/2019 |
| Token No | SM/24-25/20674 12/04/2024 | Serial | 017 |
| Patient Name | Mrs. SIBANI ACHARYA | Contact No | |
| Address | TARAPUKUR QUARTER SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||