Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07240 | Date 29/06/2024 |
| Token No | SM/25-26/5764 04/08/2025 | Serial | 021 |
| Patient Name | Mrs. SADHANA RAKSHIT | Contact No | 8794691214 |
| Address | 34/B/29 SUKANTA PALLY SERAMPORE 712203 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/88 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||