Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05153 | Date 16/09/2023 |
| Token No | SM/22-23/13153 16/09/2023 | Serial | 003 |
| Patient Name | Mrs. RANI SHAW | Contact No | 7595909344 |
| Address | 21 BARAL BAGAN LANE SERAMPORE 712201 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||