Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07220 | Date 24/12/2019 |
| Token No | SM/19-20/15812 24/12/2019 | Serial | 005 Last Visit: 11/06/2025 |
| Patient Name | Miss PRATYUSHA DAS | Contact No | 9153343770 |
| Address | 7 CHATRA CHOWDHURY PARA FL NO. 303 SERAMPORE | Age | 28 Years,8 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||