Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08743 | Date 17/02/2025 |
| Token No | SM/25-26/8909 10/10/2025 | Serial | 025 |
| Patient Name | Mrs. SUCHITRA CHAKRABORTY | Contact No | 8013383218 |
| Address | 23/A G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 170/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||