Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07438 | Date 13/07/2024 |
| Token No | SM/24-25/27007 22/08/2024 | Serial | 011 |
| Patient Name | Mrs. JYOTSNA DEY | Contact No | 7890275399 |
| Address | 161/A RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||