Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08554 | Date 16/01/2025 |
| Token No | SM/24-25/34171 16/01/2025 | Serial | 011 |
| Patient Name | Mrs. NIVA DEY | Contact No | 9432153610 |
| Address | 59/A 1NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||