Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07273 | Date 01/07/2024 |
| Token No | SM/24-25/24105 01/07/2024 | Serial | 014 |
| Patient Name | Mrs. KABERI CHAKRABORTY | Contact No | 9681596074 |
| Address | 30/75 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||