Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 01859 | Date 09/06/2022 |
| Token No | SM/22-23/19365 04/03/2024 | Serial | 020 |
| Patient Name | Mrs. KRISHNA SRIMANI | Contact No | 8420175792 |
| Address | PATUA PARA LANE SERAMPORE HOOGHLY 712201 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||