Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07181 | Date 27/06/2024 |
| Token No | SM/24-25/27707 04/09/2024 | Serial | 090 |
| Patient Name | Mrs. SAYANI CHAKRABORTY | Contact No | 9339883337 |
| Address | 172/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||