Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04809 | Date 22/04/2019 |
| Token No | SM/19-20/1337 22/04/2019 | Serial | 052 Last Visit: 09/06/2025 |
| Patient Name | Mrs. RUPA MALI | Contact No | 8697884128 |
| Address | 4 CHATRA CHOWDHURY PARA SERAMPORE | Age | 46 Years,5 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||