Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 00242 | Date 25/09/2019 |
| Token No | SM/22-23/17939 30/01/2024 | Serial | 028 |
| Patient Name | Mrs. KUSMA DEBE | Contact No | 8335090624 |
| Address | 55NO ROYLAND ROAD SERAMPORE 712201 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||