Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07087 | Date 06/12/2019 |
| Token No | SM/19-20/14745 06/12/2019 | Serial | 002 Last Visit: 28/02/2025 |
| Patient Name | Mrs. JHUMA DAS | Contact No | 7998384277 |
| Address | 36B MIYAJAN DARJI LANE SERAMPORE | Age | 26 Years,1 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 33 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||