Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06603 | Date 22/04/2024 |
| Token No | SM/24-25/37153 20/03/2025 | Serial | 036 |
| Patient Name | Mrs. PAYEL SAHA | Contact No | 6291379122 |
| Address | 30/20 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||