Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08929 | Date 21/03/2025 |
| Token No | SM/24-25/37234 21/03/2025 | Serial | 025 |
| Patient Name | Mrs. POOJA CHOWDHURY | Contact No | 8910378182 |
| Address | 55/A RAYLAND ROAD SERAMPORE 712201 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||