Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04032 | Date 10/04/2023 |
| Token No | SM/22-23/8090 10/04/2023 | Serial | 024 |
| Patient Name | Mrs. ASHA CHOWDHURY | Contact No | |
| Address | ROYLAND ROAD SERAMPORE | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||