Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04557 | Date 20/07/2023 |
| Token No | SM/22-23/10751 20/07/2023 | Serial | 042 |
| Patient Name | Mrs. PURNIMA DUTTA | Contact No | 8902154266 |
| Address | 54 G T ROAD KALITALA SERAMPORE | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||