Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02209 | Date 13/07/2022 |
| Token No | SM/22-23/1347 15/07/2022 | Serial | 017 |
| Patient Name | Mrs. ANJALI CHOWDHURY | Contact No | 8013551710 |
| Address | 56 NO RAY LAND ROAD SERAMPORE 712201 | Age | 33 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||