Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05550 | Date 01/11/2023 |
| Token No | SM/24-25/29202 07/10/2024 | Serial | 014 |
| Patient Name | Mrs. SANGITA DAS | Contact No | 9330534591 |
| Address | 1/D RAY LAND ROAD SERAMPORE M 712202 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||