Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00027 | Date 01/08/2018 |
| Token No | SM/20-21/26051 26/09/2020 | Serial | 008 Last Visit: 03/11/2025 |
| Patient Name | Mrs. SUMITA GUIN | Contact No | 9681962919 |
| Address | 7/A CHOWDHURY PARA LANE, SERAMPORE | Age | 44 Years,10 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||