Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 05971 | Date 26/07/2019 |
| Token No | SM/19-20/7386 26/07/2019 | Serial | 055 Last Visit: 30/07/2025 |
| Patient Name | Mrs. SANDHYA KAIRI | Contact No | 6291066210 |
| Address | 11 T.P BHATTACHARJEE STREET SERMPORE | Age | 45 Years,6 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||