Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00010 | Date 01/08/2018 |
| Token No | SM/18-19/10 01/08/2018 | Serial | 010 Last Visit: 27/12/2025 |
| Patient Name | Mrs. RAKHI BHOWMIK | Contact No | 9883194603 |
| Address | NAOGAR MORE, SERAMPORE | Age | 44 Years,11 Months,25 Days Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 K KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||