Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06813 | Date 17/05/2024 |
| Token No | SM/25-26/10217 10/11/2025 | Serial | 031 |
| Patient Name | Mrs. PRATIMA ROUTH | Contact No | 7003011893 |
| Address | PURBAPARA GHORAMARA SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||