Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07028 | Date 18/06/2024 |
| Token No | SM/24-25/23267 18/06/2024 | Serial | 026 |
| Patient Name | Mrs. SUBHASREE BHOWMICK | Contact No | |
| Address | 30/11 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||