Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08441 | Date 23/12/2024 |
| Token No | SM/24-25/33120 23/12/2024 | Serial | 022 |
| Patient Name | Mrs. MANGALA DAS | Contact No | |
| Address | 37/E JANNAGAR ROAD SERAMPORE 712201 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||