Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05898 | Date 19/12/2023 |
| Token No | SM/24-25/21195 26/04/2024 | Serial | 016 |
| Patient Name | Mrs. SILPA PAL | Contact No | 7980221066 |
| Address | 132/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||