Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08595 | Date 22/01/2025 |
| Token No | SM/25-26/20662 27/08/2026 | Serial | 027 |
| Patient Name | Mrs. RUMA GHOSH | Contact No | 9330951833 |
| Address | 2/259 MAHESH COLONY MAHESH-1 SERAMPORE 712202 | Age | 38 Years,7 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/50 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||