Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08327 | Date 10/06/2020 |
| Token No | SM/20-21/28213 07/12/2020 | Serial | 057 Last Visit: 07/02/2025 |
| Patient Name | Mrs. PUSPA PODDAR | Contact No | 8420881329 |
| Address | 31/C/3 BARO BAGAN LANE SERAMPORE | Age | 65 Years,2 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||