Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01164 | Date 15/09/2018 |
| Token No | SM/19-20/14114 27/11/2019 | Serial | 023 Last Visit: 25/07/2023 |
| Patient Name | Mrs. TULSI DAS | Contact No | |
| Address | 76 K. M. SHA STREET, SERAMPORE | Age | 54 Years,8 Months,12 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||