Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01846 | Date 08/06/2022 |
| Token No | SM/25-26/1680 07/05/2025 | Serial | 056 |
| Patient Name | Mrs. KRISHNA PRASAD | Contact No | 9088886691 |
| Address | 47/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||