Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01103 | Date 28/02/2020 |
| Token No | SM/24-25/37505 27/03/2025 | Serial | 011 |
| Patient Name | Mrs. TARA HARI | Contact No | 9804681041 |
| Address | B/75/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 72 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||