Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07422 | Date 11/07/2024 |
| Token No | SM/24-25/31916 27/11/2024 | Serial | 065 |
| Patient Name | Miss SANGITA CHOUDHURY | Contact No | 6289092136 |
| Address | 55 RAILAND ROAD SERAMPORE 712201 | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||