Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06239 | Date 27/08/2019 |
| Token No | SM/19-20/9238 27/08/2019 | Serial | 046 Last Visit: 12/09/2025 |
| Patient Name | Mrs. USHA NATH | Contact No | 9051122825 |
| Address | 10/B CHATRA KUMAR PARA SERAMPORE | Age | 47 Years,8 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||