Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08383 | Date 12/12/2024 |
| Token No | SM/24-25/32792 16/12/2024 | Serial | 001 |
| Patient Name | Mrs. PREYOSHI GHOSHAL | Contact No | 7439553165 |
| Address | 140/X BLOCK D TARAPUKUR GOVT QUARTERS SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||