Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 04618 | Date 26/07/2023 |
| Token No | SM/24-25/21431 03/05/2024 | Serial | 026 |
| Patient Name | Mrs. SABITA MANDAL | Contact No | 8420172550 |
| Address | 1/338 MAHESH COLONY SERAMPORE 712202 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||