Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07252 | Date 29/06/2024 |
| Token No | SM/24-25/24047 29/06/2024 | Serial | 028 |
| Patient Name | Mrs. MIRA KOIRI | Contact No | 7980323112 |
| Address | 157/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||