Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06667 | Date 30/04/2024 |
| Token No | SM/24-25/28453 20/09/2024 | Serial | 003 |
| Patient Name | Mrs. RITA PAL | Contact No | 7044760708 |
| Address | 61 RAYLAND ROAD SERAMPORE 712201 | Age | 45 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||