Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08000 | Date 07/10/2024 |
| Token No | SM/24-25/36009 22/02/2025 | Serial | 031 |
| Patient Name | Mrs. CHAINA PAL DEY | Contact No | 9836080453 |
| Address | 161/A RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 60 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||