Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08151 | Date 04/11/2024 |
| Token No | SM/24-25/30685 06/11/2024 | Serial | 022 |
| Patient Name | Mrs. PURNIMA MANNA | Contact No | |
| Address | 206/A RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||