Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07208 | Date 21/12/2019 |
| Token No | SM/19-20/18507 22/02/2020 | Serial | 030 Last Visit: 13/12/2025 |
| Patient Name | Mrs. BARNALI GHOSH | Contact No | 9804574489 |
| Address | 6/3 P.N CHAKRABORTY LANE CHATRA SERAMPORE | Age | 39 Years,9 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||