Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12176 | Date 30/09/2024 |
| Token No | SM/24-25/19150 01/10/2024 | Serial | 016 |
| Patient Name | Mrs. CHANDANA DEY | Contact No | NOT GIVEN |
| Address | 3/181B MAHESH COLONY SERAMPORE | Age | 51YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||