Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05782 | Date 02/12/2023 |
| Token No | SM/22-23/16093 02/12/2023 | Serial | 039 |
| Patient Name | Mrs. SUDHADEVI CHOWDHURY | Contact No | 6290252188 |
| Address | 56 ROYLAND ROAD SERAMPORE 712201 | Age | 49 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||