Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08953 | Date 10/11/2020 |
| Token No | SM/20-21/27374 10/11/2020 | Serial | 015 Last Visit: 12/09/2025 |
| Patient Name | Mrs. ANIMA BISWAS | Contact No | 9930964847 |
| Address | 105/1 SATCHASI PARA SERAMPORE, BAIDYABATI(M) | Age | 66 Years,8 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||