Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07505 | Date 23/07/2024 |
| Token No | SM/24-25/25377 23/07/2024 | Serial | 012 |
| Patient Name | Mrs. KRISHNA CHAKRABORTY | Contact No | 8420792515 |
| Address | 243/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||