Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08529 | Date 10/01/2025 |
| Token No | SM/25-26/10880 22/11/2025 | Serial | 095 |
| Patient Name | Mrs. PRATIMA PANJA | Contact No | 8017698964 |
| Address | 241/A 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||