Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04255 | Date 16/03/2019 |
| Token No | SM/20-21/26670 15/10/2020 | Serial | 013 Last Visit: 15/11/2025 |
| Patient Name | Mrs. SIMA GUIN | Contact No | 9903658721 |
| Address | 1/1B CHATR DUTTA PARA SERAMPORE | Age | 47 Years,10 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||