Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00144 | Date 06/08/2018 |
| Token No | SM/18-19/148 06/08/2018 | Serial | 009 Last Visit: 03/05/2025 |
| Patient Name | Mrs. KIRAN DEVI | Contact No | 8582881507 |
| Address | 15, RAJA K.L GOSWAMI STREET, SERAMPORE | Age | 36 Years,4 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||