Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 00774 | Date 28/08/2018 |
| Token No | SM/20-21/27179 05/11/2020 | Serial | 040 Last Visit: 27/09/2025 |
| Patient Name | Mrs. ASHOKA DEY | Contact No | 9903279549 |
| Address | 13A AUDDY LANE, SERAMPORE | Age | 57 Years,8 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||