Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09067 | Date 08/04/2025 |
| Token No | SM/25-26/511 09/04/2025 | Serial | 096 |
| Patient Name | Mrs. SUKLA PAL | Contact No | 8274034587 |
| Address | 45/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||