Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08590 | Date 21/01/2025 |
| Token No | SM/24-25/34484 21/01/2025 | Serial | 058 |
| Patient Name | Mrs. CHAINA GHOSH | Contact No | 9432140954 |
| Address | 4 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||