Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07739 | Date 24/08/2024 |
| Token No | SM/24-25/27284 28/08/2024 | Serial | 024 |
| Patient Name | Mrs. JYOTSNA MALLICK | Contact No | 8420803682 |
| Address | 62/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||