Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06744 | Date 09/05/2024 |
| Token No | SM/24-25/21701 09/05/2024 | Serial | 025 |
| Patient Name | Mrs. TULSI CHOWDHURY | Contact No | 9432323382 |
| Address | B/73/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||