Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07957 | Date 30/03/2020 |
| Token No | SM/19-20/20453 30/03/2020 | Serial | 004 Last Visit: 11/08/2025 |
| Patient Name | Mrs. PROVABATI PAL | Contact No | 7022628920 |
| Address | 13 KUMOR PARA LANE CHATRA, SERAMPORE | Age | 72 Years,7 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||