Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08038 | Date 18/10/2024 |
| Token No | SM/24-25/29784 21/10/2024 | Serial | 091 |
| Patient Name | Mrs. SHUKLA CHATTERJEE | Contact No | 9051231215 |
| Address | C/131/X TARAPUKUR GOVT QUARTERS SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||