Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06208 | Date 08/02/2024 |
| Token No | SM/25-26/5287 24/07/2025 | Serial | 025 |
| Patient Name | Mrs. SOMA CHOWDHURY | Contact No | 9836232237 |
| Address | 36/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||