Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03149 | Date 22/01/2019 |
| Token No | SM/18-19/8373 09/02/2019 | Serial | 018 Last Visit: 03/05/2025 |
| Patient Name | Mrs. KHAMA PATRA | Contact No | 9832789411 |
| Address | CHATRA KUMAR PARA, SERAMPORE | Age | 49 Years,4 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||