Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08271 | Date 23/11/2024 |
| Token No | SM/24-25/31672 23/11/2024 | Serial | 038 |
| Patient Name | Mrs. CHANDRIKA DEVI | Contact No | 8252471838 |
| Address | 30/14 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||