Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05639 | Date 10/11/2023 |
| Token No | SM/24-25/29537 17/10/2024 | Serial | 026 |
| Patient Name | Mrs. SUDIPTA SAHA HALDER | Contact No | 9330276056 |
| Address | 4/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||