Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09193 | Date 30/04/2025 |
| Token No | SM/25-26/1399 30/04/2025 | Serial | 024 |
| Patient Name | Mrs. SHYAMALI CHAKRABORTY | Contact No | 6290951496 |
| Address | B/101/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||