Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06719 | Date 04/05/2024 |
| Token No | SM/24-25/21863 13/05/2024 | Serial | 025 |
| Patient Name | Mrs. KALYANI PAL | Contact No | 7044760708 |
| Address | 61 RAY LAND ROAD SERAMPORE 712201 | Age | 80 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||