Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06467 | Date 19/09/2019 |
| Token No | SM/19-20/10672 19/09/2019 | Serial | 054 Last Visit: 14/07/2025 |
| Patient Name | Mrs. SUMANA MONDAL | Contact No | 9088248875 |
| Address | 10/G ROY M.C LAHIRI BAHADUR STREET ,SERAMPORE | Age | 29 Years,6 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||