Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06951 | Date 21/11/2019 |
| Token No | SM/19-20/19760 17/03/2020 | Serial | 019 Last Visit: 27/06/2023 |
| Patient Name | Mrs. SANTANA ADAK | Contact No | 9830871261 |
| Address | 164A N.S AVENUE SERAMPORE | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||