Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05361 | Date 07/10/2023 |
| Token No | SM/25-26/22654 26/10/2026 | Serial | 044 |
| Patient Name | Mrs. KALPANA SARKAR | Contact No | 7439393405 |
| Address | GHORAMARA P MALLIKPARA SERAMPORE 712203 | Age | 58 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 145/82 mmHg | Weight | 97 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||