Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06259 | Date 10/02/2024 |
| Token No | SM/24-25/26799 19/08/2024 | Serial | 031 |
| Patient Name | Mrs. SRUTI BAG | Contact No | 846945390 |
| Address | 30J/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||