Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02262 | Date 01/12/2018 |
| Token No | SM/19-20/15215 13/12/2019 | Serial | 051 Last Visit: 13/06/2025 |
| Patient Name | Mrs. PRANATI POREL | Contact No | 9874057826 |
| Address | 32 BHADURI PARA LANE, SERAMPORE | Age | 42 Years,5 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||