Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06677 | Date 02/05/2024 |
| Token No | SM/25-26/11275 01/12/2025 | Serial | 003 |
| Patient Name | Mrs. PURNIMA MUKHERJEE | Contact No | 7003619739 |
| Address | TALPUKUR LOKENATHPALLY DAKSHIN RAJYADHARPUR 712203 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||