Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07748 | Date 27/08/2024 |
| Token No | SM/24-25/27219 27/08/2024 | Serial | 008 |
| Patient Name | Mrs. DHRUPADI GOUR | Contact No | 6289478469 |
| Address | 23/X TARAPUKUR GOVT QUARTERS SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||