Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00052 | Date 02/08/2018 |
| Token No | SM/19-20/24806 07/08/2020 | Serial | 013 Last Visit: 12/08/2025 |
| Patient Name | Mrs. PUTUL GHOSH | Contact No | 9681140460 |
| Address | 29/B CHAKRABORTY BYE LANE,SERAMPORE | Age | 49 Years,7 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||