Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 01637 | Date 23/05/2022 |
| Token No | SM/22-23/61 23/05/2022 | Serial | 030 |
| Patient Name | Mrs. SUMITA DAS | Contact No | 9330247198 |
| Address | 71 PATUA PARA SERAMPORE 712201 | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||