Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08471 | Date 02/07/2020 |
| Token No | SM/19-20/23670 02/07/2020 | Serial | 079 Last Visit: 14/08/2025 |
| Patient Name | Mrs. ANJANA KOLEY | Contact No | 9088705218 |
| Address | 19/A/1 S.C CHATERJEE SARANI MALLICKPARA SERAMPORE | Age | 38 Years,7 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||