Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04473 | Date 30/03/2019 |
| Token No | SM/18-19/11598 30/03/2019 | Serial | 013 Last Visit: 26/03/2025 |
| Patient Name | Mrs. NUPUR MODAK | Contact No | 7278543021 |
| Address | 20 N.N RAY STREET SERAMPORE | Age | 32 Years,2 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||