Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07236 | Date 28/12/2019 |
| Token No | SM/19-20/15964 28/12/2019 | Serial | 002 Last Visit: 05/06/2025 |
| Patient Name | Mrs. BABITA GHOSH | Contact No | 8820053446 |
| Address | 40A BARO BAGAN LANE SERAMPORE | Age | 26 Years,5 Months,3 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||