Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01282 | Date 24/09/2018 |
| Token No | SM/19-20/5763 02/07/2019 | Serial | 053 Last Visit: 10/09/2025 |
| Patient Name | Mrs. SANGITA KUNDU | Contact No | 9875694146 |
| Address | 148/1 SHIBTALA LANE SHEORAPHULI HOOGHLY | Age | 32 Years,8 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||