Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08381 | Date 18/06/2020 |
| Token No | SM/19-20/23215 18/06/2020 | Serial | 014 Last Visit: 15/10/2025 |
| Patient Name | Mrs. DIPA MANDAL | Contact No | 9874604816 |
| Address | 16 ROY GHAT LANE, SERAMPORE | Age | 49 Years,9 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||