Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07874 | Date 20/03/2020 |
| Token No | SM/20-21/27450 11/11/2020 | Serial | 007 Last Visit: 10/12/2025 |
| Patient Name | Mrs. INDIRA ROY | Contact No | 9874784501 |
| Address | 2 P. N. CHAKRABORTY LANE, SERAMPORE | Age | 64 Years,11 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||