Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07276 | Date 01/07/2024 |
| Token No | SM/24-25/26298 08/08/2024 | Serial | 087 |
| Patient Name | Mrs. LAXMI CHATTERJEE | Contact No | 8777250282 |
| Address | A/12/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 76 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||