Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06686 | Date 03/05/2024 |
| Token No | SM/24-25/37287 22/03/2025 | Serial | 026 |
| Patient Name | Mrs. MASAM CHOWDHURY | Contact No | |
| Address | SERAMPORE | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||