Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10182 | Date 15/11/2025 |
| Token No | SM/25-26/10572 17/11/2025 | Serial | 047 |
| Patient Name | Miss TIYAS MUKHERJEE | Contact No | 9007705219 |
| Address | 162 N S AVENUE SERAMPORE 712201 | Age | 22 YRS Female |
| Token For | Visit Doctor,Medicine,Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||