Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04687 | Date 12/04/2019 |
| Token No | SM/19-20/809 12/04/2019 | Serial | 046 Last Visit: 06/09/2025 |
| Patient Name | Mrs. SANCHITA SHAW | Contact No | 9062338459 |
| Address | 102 CHATRA MANNA PARA SERAMPORE | Age | 47 Years,0 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||