Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03462 | Date 08/02/2019 |
| Token No | SM/20-21/28198 07/12/2020 | Serial | 042 Last Visit: 25/08/2025 |
| Patient Name | Mrs. SANDHYA RAY | Contact No | 7044257583 |
| Address | 2 P N CHAKRABORTY LANE,CHATRA SERAMPORE | Age | 56 Years,1 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||