Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01137 | Date 14/09/2018 |
| Token No | SM/19-20/24814 07/08/2020 | Serial | 021 Last Visit: 16/05/2025 |
| Patient Name | Mrs. SHILA BISWAS | Contact No | 9230129371 |
| Address | 19 ROY GHAT LANE | Age | 56 Years,4 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||