Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08167 | Date 08/11/2024 |
| Token No | SM/24-25/34476 21/01/2025 | Serial | 050 |
| Patient Name | Mrs. MUNMUN SIULY | Contact No | 7439083106 |
| Address | 9 TARAPUKUR COLONY MALLICPARA SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||