Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02228 | Date 15/07/2022 |
| Token No | SM/25-26/20687 28/08/2026 | Serial | 007 |
| Patient Name | Mrs. CHAINA SARKAR | Contact No | 8902326768 |
| Address | 218 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 55 Years,7 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 139/76 mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||