Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02872 | Date 13/10/2022 |
| Token No | SM/25-26/20650 27/08/2026 | Serial | 015 |
| Patient Name | Mrs. PURNIMA DEBI DAS | Contact No | 9748685695 |
| Address | 55 ROYLAND ROAD SERAMPORE 712201 | Age | 63 Years,7 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 113/81 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||