Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01413 | Date 29/09/2018 |
| Token No | SM/18-19/2227 29/09/2018 | Serial | 015 Last Visit: 10/01/2025 |
| Patient Name | Mrs. KARABI DAS | Contact No | 9051331348 |
| Address | 17 P N K BANERJEE LANE, SERAMPORE | Age | 28 Years,0 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 95 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||