Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08217 | Date 05/05/2020 |
| Token No | SM/19-20/21933 05/05/2020 | Serial | 014 Last Visit: 27/02/2025 |
| Patient Name | Mrs. SANJU CHOWDHURY | Contact No | 8910553009 |
| Address | 53 MUKHERJEE PARA LANE, SERAMPORE | Age | 29 Years,6 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||