Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06780 | Date 14/05/2024 |
| Token No | SM/24-25/30290 29/10/2024 | Serial | 011 |
| Patient Name | Mrs. BASANA CHAKRABORTY | Contact No | 7890084339 |
| Address | C/122/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||