Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09380 | Date 02/06/2025 |
| Token No | SM/25-26/3086 05/06/2025 | Serial | 044 |
| Patient Name | Mrs. SHYAMALI ROUTH | Contact No | 9870883626 |
| Address | 60/A 1NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||