Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04548 | Date 04/04/2019 |
| Token No | SM/19-20/7309 25/07/2019 | Serial | 062 Last Visit: 31/07/2025 |
| Patient Name | Mrs. SANGITA DAS | Contact No | 8697302661 |
| Address | 11 ROAD RABINDA BHABAN COURT SERAMPORE | Age | 31 Years,6 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||