Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07084 | Date 21/06/2024 |
| Token No | SM/24-25/23519 21/06/2024 | Serial | 065 |
| Patient Name | Mrs. KALYANI CHAKRABORTY | Contact No | 9163007121 |
| Address | 30/10 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||