Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04654 | Date 31/07/2023 |
| Token No | SM/22-23/11108 31/07/2023 | Serial | 005 |
| Patient Name | Miss LAKSHMI CHOUDHURY | Contact No | 9163331631 |
| Address | 55 ROY LAND ROAD SERAMPORE 712201 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||