Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08125 | Date 29/10/2024 |
| Token No | SM/24-25/30328 29/10/2024 | Serial | 049 |
| Patient Name | Mrs. SABITA HOWLADER | Contact No | 8777565950 |
| Address | 241A 2 RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||