Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03305 | Date 02/02/2019 |
| Token No | SM/19-20/23155 16/06/2020 | Serial | 026 Last Visit: 19/11/2025 |
| Patient Name | Mrs. SHIBANI SAHA | Contact No | 9007526917 |
| Address | 16 PROF K.K MUKHERJEE SARANI,CHATRA SERAMPORE | Age | 56 Years,10 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||