Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07176 | Date 18/12/2019 |
| Token No | SM/19-20/22251 15/05/2020 | Serial | 018 Last Visit: 15/11/2025 |
| Patient Name | Mrs. LAKSHMI MANDAL | Contact No | 9830447448 |
| Address | 4 CHTARA CHOWDHURY PARA LANE SERAMPORE | Age | 42 Years,10 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||