Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07810 | Date 03/09/2024 |
| Token No | SM/25-26/4647 14/07/2025 | Serial | 007 |
| Patient Name | Mrs. BARNALI CHAKRABORTY | Contact No | 9088371443 |
| Address | 43/20/H/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||