Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06979 | Date 11/06/2024 |
| Token No | SM/24-25/23036 11/06/2024 | Serial | 032 |
| Patient Name | Mrs. SUDHA BHATTACHARJEE | Contact No | 7596923374 |
| Address | 190/2 RAJYADHARPUR GOVE COLONY SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||