Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 06769 | Date 13/05/2024 |
| Token No | SM/24-25/21862 13/05/2024 | Serial | 024 |
| Patient Name | Mrs. RAMA DEY | Contact No | 9088547566 |
| Address | 1/338 MAHESH COLONY SERAMPORE 712202 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||