Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08087 | Date 23/10/2024 |
| Token No | SM/24-25/30489 02/11/2024 | Serial | 008 |
| Patient Name | Mrs. BASANTI BHATTACHARYA | Contact No | 8296277262 |
| Address | 155/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 88 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||