Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07186 | Date 27/06/2024 |
| Token No | SM/25-26/5337 25/07/2025 | Serial | 019 |
| Patient Name | Miss JOLLY RAM | Contact No | 8272907661 |
| Address | 8 TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||