Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08616 | Date 29/01/2025 |
| Token No | SM/24-25/34777 29/01/2025 | Serial | 006 |
| Patient Name | Mrs. UMA SANTRA | Contact No | |
| Address | 29 JANNAGAR ROAD SERAMPORE 712201 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||