Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10158 | Date 10/11/2025 |
| Token No | SM/25-26/10259 10/11/2025 | Serial | 073 |
| Patient Name | Mrs. JHUMA MONDAL | Contact No | 9088656158 |
| Address | 65/25/44 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||