Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06323 | Date 20/02/2024 |
| Token No | SM/22-23/18849 20/02/2024 | Serial | 039 |
| Patient Name | Miss INDRANI POREL | Contact No | 8617725165 |
| Address | 12/T JANNAGAR ROAD SERAMPORE M 712202 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||