Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08851 | Date 12/10/2020 |
| Token No | SM/20-21/26567 12/10/2020 | Serial | 062 Last Visit: 01/11/2025 |
| Patient Name | Mrs. ALPANA DUTTA | Contact No | 8017449612 |
| Address | 54 NO CHATRA BARUI PARA LANE CHATRA POST OFFICE SERAMPORE | Age | 44 Years,10 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||