Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07367 | Date 05/07/2024 |
| Token No | SM/24-25/24482 05/07/2024 | Serial | 032 |
| Patient Name | Mrs. JYOTSNA DAS | Contact No | 7439193158 |
| Address | D/151/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||