Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04442 | Date 28/03/2019 |
| Token No | SM/19-20/266 04/04/2019 | Serial | 055 Last Visit: 23/07/2025 |
| Patient Name | Mrs. LALITA DEVI | Contact No | 7595865239 |
| Address | 11 RABINDRA BHAWAN ROAD SERAMPORE | Age | 38 Years,3 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||