Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06069 | Date 17/01/2024 |
| Token No | SM/24-25/33058 21/12/2024 | Serial | 015 |
| Patient Name | Mrs. ANKANA GHOSH | Contact No | 7059343608 |
| Address | 177 RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||