Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02949 | Date 20/10/2022 |
| Token No | SM/24-25/32472 09/12/2024 | Serial | 014 |
| Patient Name | Mrs. SOMA CHAKRABORTY | Contact No | 8981232574 |
| Address | 33/X TARAPUKUR GOVT QUARTERS SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||