Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 02052 | Date 20/11/2018 |
| Token No | SM/19-20/23070 13/06/2020 | Serial | 029 Last Visit: 08/09/2025 |
| Patient Name | Mrs. KANTI BHUIYA | Contact No | |
| Address | J N LAHIRI ROAD SERAMPORE | Age | 55 Years,8 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||