Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00038 | Date 07/09/2019 |
| Token No | SM/25-26/10290 11/11/2025 | Serial | 021 |
| Patient Name | Mrs. GURUPRIYA SHAW | Contact No | 9123980219 |
| Address | BIBIRBER SERAMPORE 712203 | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||