Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09621 | Date 23/07/2025 |
| Token No | SM/25-26/5208 23/07/2025 | Serial | 049 |
| Patient Name | Miss SOHENI MUKHERJEE | Contact No | 8100660391 |
| Address | B/82/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||