Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08608 | Date 27/01/2025 |
| Token No | SM/24-25/34713 27/01/2025 | Serial | 024 |
| Patient Name | Mrs. SHEFALI SIL | Contact No | 9088071848 |
| Address | 30/2 SERAMPORE COLONY MALLICKPARA SERAMPORE 712203 | Age | 75 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||