Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09050 | Date 14/12/2020 |
| Token No | SM/20-21/28377 14/12/2020 | Serial | 031 Last Visit: 13/11/2025 |
| Patient Name | Mrs. PIYALI PATRA | Contact No | 6291091976 |
| Address | 19 RAJA K L GOSWAMI STREET SERAMPORE | Age | 36 Years,10 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||