Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01755 | Date 29/10/2018 |
| Token No | SM/19-20/12361 24/10/2019 | Serial | 036 Last Visit: 10/02/2025 |
| Patient Name | Mrs. MINA DAS | Contact No | 6290266941 |
| Address | 32, CHATRA DHARMOTALA LANE, SERAMPORE | Age | 73 Years,2 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||