Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02230 | Date 30/11/2018 |
| Token No | SM/20-21/27711 24/11/2020 | Serial | 030 Last Visit: 29/11/2025 |
| Patient Name | Mrs. CHABBI PATRA | Contact No | 9051969973 |
| Address | 19, N.N ROY STREET SERAMPORE HOOGHLY | Age | 42 Years,10 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||