Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02922 | Date 28/08/2019 |
| Token No | SM/22-23/13671 11/12/2023 | Serial | 012 |
| Patient Name | Mrs. NITU SHAW | Contact No | 9330783031 |
| Address | SERAMPORE | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||