Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05148 | Date 17/05/2019 |
| Token No | SM/20-21/28337 12/12/2020 | Serial | 005 Last Visit: 19/11/2025 |
| Patient Name | Mrs. SHIBANI DAS | Contact No | |
| Address | serampore | Age | 27 Years,6 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||