Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01841 | Date 08/06/2022 |
| Token No | SM/25-26/6438 16/08/2025 | Serial | 006 |
| Patient Name | Mrs. JYOTSNA BHOWMIK | Contact No | 9830958858 |
| Address | 43/16/4 PRABASHNAGAR SERAMPORE 712249 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||