Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04600 | Date 25/07/2023 |
| Token No | SM/22-23/10916 25/07/2023 | Serial | 030 |
| Patient Name | Mrs. RENU CHOWDHURY | Contact No | 9163331631 |
| Address | 56 ROY LAND ROAD SERAMPORE 712201 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||