Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06764 | Date 13/05/2024 |
| Token No | SM/24-25/21844 13/05/2024 | Serial | 006 |
| Patient Name | Mrs. RITA CHOWDHURI | Contact No | 9716412117 |
| Address | 55 ROY LAND ROAD SERAMPORE 712201 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||