Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08106 | Date 26/10/2024 |
| Token No | SM/25-26/8605 26/09/2025 | Serial | 010 |
| Patient Name | Mrs. GITA BOSE | Contact No | 6291646069 |
| Address | 12/B ASHUTOSH CHATTERJEE LANE SERAMPORE 712202 | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||