Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08653 | Date 19/08/2020 |
| Token No | SM/19-20/25022 19/08/2020 | Serial | 034 Last Visit: 24/09/2025 |
| Patient Name | Mrs. RINA DAS | Contact No | 8420069112 |
| Address | 47/1 MUKHERJEE PARA LANE SERAMPORE | Age | 58 Years,8 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||