Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00338 | Date 05/11/2019 |
| Token No | SM/25-26/22690 28/10/2026 | Serial | 007 |
| Patient Name | Mrs. KRISHNA KOLEY | Contact No | 7890941669 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 58 Years,9 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||