Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00196 | Date 19/09/2019 |
| Token No | SM/24-25/32917 18/12/2024 | Serial | 018 |
| Patient Name | Mrs. UMA DOLUI | Contact No | 9330472086 |
| Address | 38/A B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 68 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/60 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||