Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04653 | Date 31/07/2023 |
| Token No | SM/22-23/11107 31/07/2023 | Serial | 004 |
| Patient Name | Mrs. REKHA DEBI | Contact No | 7439067748 |
| Address | 55 RAI LAND ROAD SERAMPORE 712201 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||