Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08512 | Date 07/01/2025 |
| Token No | SM/24-25/35421 08/02/2025 | Serial | 058 |
| Patient Name | Mrs. DEBLINA CHOWDHURY | Contact No | 7595909708 |
| Address | 144/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 92 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||