Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00045 | Date 02/08/2018 |
| Token No | SM/19-20/21791 30/04/2020 | Serial | 075 Last Visit: 28/05/2025 |
| Patient Name | Mrs. KULSHUN BIBI | Contact No | 8017323649 |
| Address | 1, DR. CHETTERJEE BY LANE | Age | 67 Years,4 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||