Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 00273 | Date 30/09/2019 |
| Token No | SM/24-25/37442 26/03/2025 | Serial | 020 |
| Patient Name | Mrs. SANDHYA DAS | Contact No | |
| Address | 55NO ROY LAND ROAD SERAMPORE 712201 | Age | 78 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||