Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 01989 | Date 22/06/2022 |
| Token No | SM/22-23/708 22/06/2022 | Serial | 008 |
| Patient Name | Mrs. RITA CHOWDHURY | Contact No | 8013551710 |
| Address | 55 ROILAND ROAD SERAMPORE M HOOGHLY 712201 | Age | 78 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||