Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10594 | Date 02/03/2026 |
| Token No | SM/25-26/15443 02/03/2026 | Serial | 019 |
| Patient Name | Mrs. BULA NANDI | Contact No | 9836258961 |
| Address | D/150/Y TARAPUKUR GOVT QUARTERS SERAMPORE 712203 | Age | 56 Years,2 Months,29 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||