Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01359 | Date 26/09/2018 |
| Token No | SM/19-20/4215 08/06/2019 | Serial | 063 Last Visit: 26/03/2025 |
| Patient Name | Mrs. SUMITA GHOSH | Contact No | 8017230695 |
| Address | 25/A GHOSH PARA 1ST LANE SERAMPORE CHATRA | Age | 55 Years,2 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||