Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07959 | Date 28/09/2024 |
| Token No | SM/24-25/28865 28/09/2024 | Serial | 022 |
| Patient Name | Mrs. ANJU CHOWDHURY | Contact No | 6289092136 |
| Address | 55 RAILAND ROAD SERAMPORE 712202 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||