Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05718 | Date 10/07/2019 |
| Token No | SM/19-20/6198 10/07/2019 | Serial | 066 Last Visit: 25/08/2025 |
| Patient Name | Mrs. NISHA RAJBHAR | Contact No | 9051452760 |
| Address | SERAMPORE 31 NO TIN BAZAR BY LANE | Age | 29 Years,2 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||