Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08014 | Date 14/10/2024 |
| Token No | SM/24-25/29418 14/10/2024 | Serial | 023 |
| Patient Name | Mrs. RITA CHAKRABORTY | Contact No | 9674544037 |
| Address | 207 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||