Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04674 | Date 11/04/2019 |
| Token No | SM/19-20/14278 29/11/2019 | Serial | 047 Last Visit: 23/07/2025 |
| Patient Name | Mrs. KABERI PAL | Contact No | 9231637325 |
| Address | 54 CHATRA DUTTA PARA SERAMPORE | Age | 56 Years,6 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||