Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07139 | Date 26/06/2024 |
| Token No | SM/24-25/24013 28/06/2024 | Serial | 097 |
| Patient Name | Mrs. TRIPTI KANA ROY | Contact No | 7501105331 |
| Address | 166/Y/D TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||