Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00513 | Date 17/08/2018 |
| Token No | SM/20-21/26400 07/10/2020 | Serial | 003 Last Visit: 27/12/2025 |
| Patient Name | Mrs. SUMITA DEY | Contact No | 9903246198 |
| Address | 12, ROY GHAT LANE , SERAMPORE | Age | 48 Years,11 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||