Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02399 | Date 07/12/2018 |
| Token No | SM/18-19/6631 10/01/2019 | Serial | 058 Last Visit: 10/11/2025 |
| Patient Name | Mrs. RUMA PAL | Contact No | 8609041975 |
| Address | 40 CHATRA KUMAR PARA SERAMPORE | Age | 36 Years,10 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||