Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 01990 | Date 22/06/2022 |
| Token No | SM/22-23/6801 15/02/2023 | Serial | 020 |
| Patient Name | Mrs. SITA SUNDARI DEVI CHAUDHURI | Contact No | 8013551710 |
| Address | 56 NO ROY LAND ROAD SERAMPORE HOOGHLY 712201 | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||