Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02339 | Date 29/07/2022 |
| Token No | SM/25-26/22629 26/10/2026 | Serial | 019 |
| Patient Name | Miss DOLAN BANIK | Contact No | 9330502649 |
| Address | 24/D TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 27 Years,2 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 80/40 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||