Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07231 | Date 28/06/2024 |
| Token No | SM/24-25/24004 28/06/2024 | Serial | 088 |
| Patient Name | Mrs. TUKTUKI DEY | Contact No | |
| Address | 37 J N ROAD SERAMPORE 712201 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||