Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 06235 | Date 10/02/2024 |
| Token No | SM/22-23/19664 11/03/2024 | Serial | 018 |
| Patient Name | Mrs. ANJALI DEBNATH | Contact No | 9007652825 |
| Address | 1/313 MAHESH COLONY MAHESH SERAMPORE 712202 | Age | 58 YRS Other |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 180/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||