Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11315 | Date 27/03/2024 |
| Token No | SM/24-25/15969 25/04/2024 | Serial | 007 |
| Patient Name | Mrs. BASANTI DUTTA | Contact No | 9748798028 |
| Address | KALITALA SERAMPORE | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||