Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02908 | Date 08/01/2019 |
| Token No | SM/18-19/6505 08/01/2019 | Serial | 059 Last Visit: 18/07/2025 |
| Patient Name | Mrs. SUJATA GHOSH | Contact No | 9874759311 |
| Address | 6/A CHATRA GHOSH PARA, SERAMPORE | Age | 45 Years,6 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||