Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00185 | Date 17/09/2019 |
| Token No | SM/24-25/21070 23/04/2024 | Serial | 040 |
| Patient Name | Mrs. SHELLEY ADAK | Contact No | 9475100476 |
| Address | AMULYA KANAN HOUSING PHASE II,SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||