Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05058 | Date 10/05/2019 |
| Token No | SM/19-20/9495 30/08/2019 | Serial | 067 Last Visit: 08/12/2025 |
| Patient Name | Mrs. ARATI RAY | Contact No | 9051075728 |
| Address | 16 RAJA K.L GOSWAMI STREET SERAMPORE | Age | 67 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||