Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06329 | Date 22/02/2024 |
| Token No | SM/25-26/9355 18/10/2025 | Serial | 001 |
| Patient Name | Mrs. POULOMI NATH | Contact No | 6289795723 |
| Address | 16/A 2NO SERAMPORE COLONY MALLICKPARA SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 105 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||