Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08607 | Date 30/07/2020 |
| Token No | SM/19-20/24712 04/08/2020 | Serial | 022 Last Visit: 29/05/2025 |
| Patient Name | Mrs. AMITA KAYAL | Contact No | 9231859270 |
| Address | 58/40,BHATTACHARJEE GARDEN BYE LANE,BAIDYABATI(M) | Age | 52 Years,4 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||