Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08730 | Date 14/02/2025 |
| Token No | SM/24-25/35651 14/02/2025 | Serial | 022 |
| Patient Name | Mrs. AMALA BHATTACHARYYA | Contact No | 9088914511 |
| Address | B/92/Y TARAPUKUR GOVT QUARTERS MALLICKPARA SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||