Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04744 | Date 08/08/2023 |
| Token No | SM/25-26/22614 26/10/2026 | Serial | 004 |
| Patient Name | Mrs. SONALI ROY | Contact No | 7605804323 |
| Address | 102 BHATTACHARJEE GARDEN BYE LANE SERAMPORE 712203 | Age | 47 Years,8 Months,11 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 131/80 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||