Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07882 | Date 10/09/2024 |
| Token No | SM/24-25/28662 24/09/2024 | Serial | 012 |
| Patient Name | Mrs. NAMITA BAG | Contact No | 9163521366 |
| Address | 12/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||