Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01595 | Date 10/10/2018 |
| Token No | SM/18-19/3367 02/11/2018 | Serial | 051 Last Visit: 11/04/2025 |
| Patient Name | Miss SONALI SADHUKHAN | Contact No | 9681065397 |
| Address | 3, DHARAMATALA LANE CHATRA SERAMPORE | Age | 19 Years,5 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||