Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08051 | Date 19/10/2024 |
| Token No | SM/24-25/29671 19/10/2024 | Serial | 048 |
| Patient Name | Mrs. RAMITA CHOWDHURY | Contact No | 8651528665 |
| Address | 62/A ROYLAND ROAD SERAMPORE HOOGHLY 712201 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||