Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09054 | Date 05/04/2025 |
| Token No | SM/25-26/12531 30/12/2025 | Serial | 034 |
| Patient Name | Mrs. MOUMITA DUTTA | Contact No | 9748688869 |
| Address | 43/46/C/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||