Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07101 | Date 07/12/2019 |
| Token No | SM/19-20/14847 07/12/2019 | Serial | 014 Last Visit: 17/11/2025 |
| Patient Name | Mrs. PIYALI SAHA | Contact No | 7003561855 |
| Address | 16 B PROF K K MUHERJEE STREET,CHATRA,SERAMPORE | Age | 35 Years,6 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||