Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07508 | Date 10/02/2020 |
| Token No | SM/19-20/20951 09/04/2020 | Serial | 029 Last Visit: 03/11/2025 |
| Patient Name | Mrs. ALAKA GHOSH | Contact No | 7278573626 |
| Address | 4 BEBEKANANDA LANE, | Age | 67 Years,10 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||