Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06371 | Date 02/03/2024 |
| Token No | SM/25-26/9131 15/10/2025 | Serial | 020 |
| Patient Name | Mrs. MAYA BISWAS | Contact No | 9163599053 |
| Address | TALPUKUR DAKSHIN RAJYADHARPUR LOKNATH PALLY SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||