Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01359 | Date 26/09/2018 |
| Token No | SM/18-19/2105 26/09/2018 | Serial | 034 Last Visit: 26/03/2025 |
| Patient Name | Mrs. SUMITA GHOSH | Contact No | 8017230695 |
| Address | 25/A GHOSH PARA 1ST LANE SERAMPORE CHATRA | Age | 55 Years,2 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 113/60 mmHg | Weight | 49 KG |
| Pulse Rate | 72 / min | Height | cm BMI: inf |
| Diagnosis | |||