Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07157 | Date 26/06/2024 |
| Token No | SM/24-25/23812 26/06/2024 | Serial | 088 |
| Patient Name | Miss SNEHA KOLEY | Contact No | 6289094385 |
| Address | 9/A TARAPUKUR LANE SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||