Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01227 | Date 18/03/2020 |
| Token No | SM/25-26/756 16/04/2025 | Serial | 071 |
| Patient Name | Miss ARCHITA MUKHERJEE | Contact No | 9477055317 |
| Address | 182/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||