Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07496 | Date 22/07/2024 |
| Token No | SM/24-25/25315 22/07/2024 | Serial | 021 |
| Patient Name | Mrs. SUSHMA SHARMA | Contact No | 9433328413 |
| Address | A/6/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||