Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08643 | Date 31/01/2025 |
| Token No | SM/25-26/430 09/04/2025 | Serial | 015 |
| Patient Name | Mrs. GITA BISWAS | Contact No | 8583899117 |
| Address | 43/14/9 PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 135/70 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||