Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07788 | Date 31/08/2024 |
| Token No | SM/24-25/27458 31/08/2024 | Serial | 046 |
| Patient Name | Mrs. BINA BAG | Contact No | 9062929983 |
| Address | 12/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 84 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||