Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04782 | Date 20/04/2019 |
| Token No | SM/19-20/18167 15/02/2020 | Serial | 066 Last Visit: 13/08/2025 |
| Patient Name | Mrs. KAJORI PAL | Contact No | 7278735790 |
| Address | 16A/1 CHATRA BARUI PARA LANE SERAMPORE | Age | 38 Years,2 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||