Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02590 | Date 31/08/2022 |
| Token No | SM/25-26/12278 22/12/2025 | Serial | 038 |
| Patient Name | Mrs. JYOTSHNA BANERJEE | Contact No | 9836064025 |
| Address | 43/46/C PRABASHNAGAR SERAMPORE 712249 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/60 mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||