Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02380 | Date 06/12/2018 |
| Token No | SM/18-19/6504 08/01/2019 | Serial | 058 Last Visit: 07/02/2025 |
| Patient Name | Miss JUI GHOSH | Contact No | 9874759311 |
| Address | 6/A CHATRA GHOSH PARA, SERAMPORE | Age | 27 Years,1 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||