Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07335 | Date 03/07/2024 |
| Token No | SM/25-26/6788 25/08/2025 | Serial | 022 |
| Patient Name | Miss MUNI CHOUDHURI | Contact No | 8013551710 |
| Address | 56 NO ROY LAND ROAD SERAMPORE HOOGHLY 712201 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||