Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07450 | Date 16/07/2024 |
| Token No | SM/25-26/9377 18/10/2025 | Serial | 023 |
| Patient Name | Miss DIYASHA CHATTERJEE | Contact No | 7596976188 |
| Address | B/65/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||