Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07767 | Date 12/03/2020 |
| Token No | SM/19-20/19505 12/03/2020 | Serial | 067 Last Visit: 24/09/2025 |
| Patient Name | Mrs. RAKHI MONDAL | Contact No | 8272952188 |
| Address | 132/1 RAMKRISHNA ROAD SERAMPORE, BAIDYABATI(M) | Age | 36 Years,6 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||