Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02567 | Date 26/08/2022 |
| Token No | SM/25-26/8009 15/09/2025 | Serial | 025 |
| Patient Name | Mrs. SHOBHARANI DAS | Contact No | 9681929926 |
| Address | PANDIT SATGHARA SERAMPORE 712203 | Age | 69 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||