Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01267 | Date 22/09/2018 |
| Token No | SM/18-19/2852 13/10/2018 | Serial | 006 Last Visit: 03/05/2025 |
| Patient Name | Mrs. ANIMA GHOSH | Contact No | 8981326206 |
| Address | 24, N.N. ROY STREET | Age | 52 Years,4 Months,0 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||