Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08237 | Date 20/11/2024 |
| Token No | SM/24-25/31475 20/11/2024 | Serial | 043 |
| Patient Name | Mrs. MIRA JAISWARA | Contact No | 9831991256 |
| Address | B/67/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||