Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02004 | Date 22/06/2022 |
| Token No | SM/24-25/21092 24/04/2024 | Serial | 020 |
| Patient Name | Mrs. REKHA SINGH | Contact No | 8013551710 |
| Address | 55 NO ROYLAND ROAD SERAMPORE 712201 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||