Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07492 | Date 20/07/2024 |
| Token No | SM/24-25/25248 20/07/2024 | Serial | 014 |
| Patient Name | Mrs. BINDA HARI | Contact No | |
| Address | B/75/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||