Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07364 | Date 04/07/2024 |
| Token No | SM/24-25/24425 04/07/2024 | Serial | 041 |
| Patient Name | Mrs. MAYA SAHA | Contact No | 7449565737 |
| Address | 30/77 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||