Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03664 | Date 30/01/2023 |
| Token No | SM/22-23/6414 31/01/2023 | Serial | 025 |
| Patient Name | Mrs. ALPANA GHOSH | Contact No | 8100143860 |
| Address | 55 ROYLAND ROAD SERAMPORE 712201 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||