Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04543 | Date 19/07/2023 |
| Token No | SM/22-23/11913 16/08/2023 | Serial | 055 |
| Patient Name | Mrs. JULEKHA PARVEEN | Contact No | 9330191800 |
| Address | 71 PATUA PARA LANE SERAMPORE 712201 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||