Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05550 | Date 01/11/2023 |
| Token No | SM/22-23/14962 01/11/2023 | Serial | 044 |
| Patient Name | Mrs. SANGITA DAS | Contact No | 9330534591 |
| Address | 1/D RAY LAND ROAD SERAMPORE M 712202 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||