Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09048 | Date 14/12/2020 |
| Token No | SM/20-21/28374 14/12/2020 | Serial | 028 Last Visit: 18/12/2025 |
| Patient Name | Mrs. DIPALI MONDAL | Contact No | 8961293599 |
| Address | 72 K M SAHA STREET SERAMPORE | Age | 28 Years,10 Months,9 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||