Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06884 | Date 29/05/2024 |
| Token No | SM/24-25/28068 11/09/2024 | Serial | 024 |
| Patient Name | Mrs. SUJATA KAIRI | Contact No | 9163530129 |
| Address | D/148/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||