Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08324 | Date 29/11/2024 |
| Token No | SM/25-26/6572 19/08/2025 | Serial | 031 |
| Patient Name | Mrs. GITA MAJUMDAR | Contact No | 7439084042 |
| Address | 55NO RAYLAND ROAD SERAMPORE 712201 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||