Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06122 | Date 29/01/2024 |
| Token No | SM/22-23/17892 29/01/2024 | Serial | 056 |
| Patient Name | Mrs. SUMITA DAS | Contact No | 8100661595 |
| Address | 47/A ROYLAND ROAD SERAMPORE 712201 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||