Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07774 | Date 13/03/2020 |
| Token No | SM/19-20/19534 13/03/2020 | Serial | 008 Last Visit: 23/05/2025 |
| Patient Name | Mrs. SUMANA GHOSH | Contact No | 9433067535 |
| Address | 24 GHOSH PARA 1ST LANE | Age | 40 Years,3 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||