Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07544 | Date 29/07/2024 |
| Token No | SM/24-25/25728 29/07/2024 | Serial | 066 |
| Patient Name | Mrs. SABITA CHOWDHURY | Contact No | 9051604417 |
| Address | 55 NO ROYLAND ROAD SERAMPORE | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||