Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06455 | Date 21/03/2024 |
| Token No | SM/24-25/25895 01/08/2024 | Serial | 046 |
| Patient Name | Mrs. BANDANA CHAKRABORTY | Contact No | 6296774330 |
| Address | C/125/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||