Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04539 | Date 29/06/2021 |
| Token No | SM/22-23/4674 24/08/2022 | Serial | 002 |
| Patient Name | Mrs. PUSHPA DUTTA | Contact No | 9748798028 |
| Address | SERAMPORE KALITALA | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||