Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07449 | Date 16/07/2024 |
| Token No | SM/24-25/30008 23/10/2024 | Serial | 080 |
| Patient Name | Mrs. RATNA CHATTERJEE | Contact No | 7596976188 |
| Address | B/65/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||