Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08284 | Date 25/11/2024 |
| Token No | SM/24-25/33430 30/12/2024 | Serial | 028 |
| Patient Name | Mrs. MOUSUMI CHATTERJEE | Contact No | 7980777089 |
| Address | A/35/X TARAPUKUR GOVT QUARTERS MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||