Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08166 | Date 08/11/2024 |
| Token No | SM/24-25/31255 16/11/2024 | Serial | 046 |
| Patient Name | Mrs. NAMITA SIULI BHATTACHARJEE | Contact No | 9088170288 |
| Address | 30/F TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||