Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10064 | Date 15/10/2025 |
| Token No | SM/25-26/9171 15/10/2025 | Serial | 060 |
| Patient Name | Mrs. SANCHITA GHOSHAL | Contact No | 9088684787 |
| Address | 8A/2/17 PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor,Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||