Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07689 | Date 17/08/2024 |
| Token No | SM/24-25/26726 17/08/2024 | Serial | 001 |
| Patient Name | Mrs. BASANTI SEN | Contact No | 8910731019 |
| Address | 72A PATUA PARA LANE SERAMPORE 712201 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||