Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08409 | Date 17/12/2024 |
| Token No | SM/24-25/32894 17/12/2024 | Serial | 046 |
| Patient Name | Mrs. SADHANA PAL | Contact No | 9038555652 |
| Address | 10/A/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||