Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01908 | Date 05/11/2018 |
| Token No | SM/19-20/4265 10/06/2019 | Serial | 047 Last Visit: 01/09/2025 |
| Patient Name | Mrs. MINATI MAITY | Contact No | |
| Address | 2,JAGMOHAN LAHIRI LANE CHATRA SERAMPORE | Age | 66 Years,8 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||