Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06790 | Date 15/05/2024 |
| Token No | SM/24-25/21959 15/05/2024 | Serial | 018 |
| Patient Name | Mrs. SOVA CHAKRABORTY | Contact No | 9748372794 |
| Address | 212/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||