Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 06359 | Date 26/02/2024 |
| Token No | SM/22-23/19070 26/02/2024 | Serial | 043 |
| Patient Name | Mrs. ANIMI PARVATI | Contact No | 7044338874 |
| Address | KHATIR BAZAR LANE MAHESH SERAMPORE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||