Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08290 | Date 29/05/2020 |
| Token No | SM/19-20/23867 07/07/2020 | Serial | 032 Last Visit: 26/07/2025 |
| Patient Name | Mrs. SREEMOTI GANGULY | Contact No | 6289388823 |
| Address | 3/E DUTTA PARA LANE SERAMPORE | Age | 46 Years,10 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||