Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03604 | Date 15/02/2019 |
| Token No | SM/18-19/8773 15/02/2019 | Serial | 061 Last Visit: 18/12/2025 |
| Patient Name | Mrs. PUNAM SING | Contact No | 9903371427 |
| Address | 53 MUKHERJEE PARA LANE | Age | 37 Years,11 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||