Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07543 | Date 29/07/2024 |
| Token No | SM/24-25/25735 30/07/2024 | Serial | 004 |
| Patient Name | Mrs. NILAM CHOUDHARY | Contact No | 9051604417 |
| Address | 55 NO ROYLAND ROAD SERAMPORE 712201 | Age | 31 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||