Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07901 | Date 17/09/2024 |
| Token No | SM/24-25/28274 17/09/2024 | Serial | 011 |
| Patient Name | Mrs. MAHAMAYA KUNDU | Contact No | 8420110541 |
| Address | 244/A 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||