Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02872 | Date 13/10/2022 |
| Token No | SM/22-23/16844 23/12/2023 | Serial | 003 |
| Patient Name | Mrs. PURNIMA DEBI DAS | Contact No | 9748685695 |
| Address | 55 ROYLAND ROAD SERAMPORE 712201 | Age | 62 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||