Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07199 | Date 28/06/2024 |
| Token No | SM/24-25/29886 22/10/2024 | Serial | 059 |
| Patient Name | Mrs. SUMANA DAS | Contact No | 9433482472 |
| Address | J N LAHIRI ROAD SERAMPORE 712201 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||