Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07516 | Date 24/07/2024 |
| Token No | SM/24-25/25469 24/07/2024 | Serial | 056 |
| Patient Name | Mrs. RINA DEBI | Contact No | 7044355646 |
| Address | 61D ROILAND ROAD SERAMPORE M HOOGHLY 712201 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||