Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07905 | Date 18/09/2024 |
| Token No | SM/25-26/12543 30/12/2025 | Serial | 046 |
| Patient Name | Mrs. MINA KAIRI | Contact No | 9163530129 |
| Address | D/148/Y TARAPUKUR GOVT QUARTERS MALLICKPARA SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||