Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07330 | Date 02/07/2024 |
| Token No | SM/24-25/24577 06/07/2024 | Serial | 048 |
| Patient Name | Mrs. SHIBANI DHAM | Contact No | 7688020247 |
| Address | D/149/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||