Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04029 | Date 10/04/2023 |
| Token No | SM/25-26/22696 28/10/2026 | Serial | 013 |
| Patient Name | Mrs. CHHAYA DAS | Contact No | 9748972849 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 74 Years,9 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 138/75 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||