Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07147 | Date 26/06/2024 |
| Token No | SM/25-26/4940 18/07/2025 | Serial | 021 |
| Patient Name | Miss RAGINI CHOWDHURY | Contact No | 9330281220 |
| Address | 56 RAILAND ROAD SERAMPORE 712201 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||