Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12152 | Date 27/09/2024 |
| Token No | SM/24-25/19051 28/09/2024 | Serial | 004 |
| Patient Name | Mrs. KEYA DAS | Contact No | 9088608488 |
| Address | 2/116 A MAHESH COLONY MAHESH SERAMPORE | Age | 48YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||