Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05126 | Date 15/05/2019 |
| Token No | SM/19-20/2825 15/05/2019 | Serial | 065 Last Visit: 01/08/2025 |
| Patient Name | Mrs. RINA KAYAL | Contact No | 8481803265 |
| Address | 13/2 CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 44 Years,7 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||