Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03211 | Date 29/01/2019 |
| Token No | SM/18-19/7530 29/01/2019 | Serial | 023 Last Visit: 28/11/2025 |
| Patient Name | Mrs. TAPATI DAS | Contact No | 9433566024 |
| Address | 2B VIVEKANAND LANE, SERAMPORE | Age | 64 Years,10 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 63.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||