Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09082 | Date 21/12/2020 |
| Token No | SM/20-21/28650 21/12/2020 | Serial | 043 Last Visit: 10/09/2025 |
| Patient Name | Mrs. SHILA MANNA | Contact No | 7596898557 |
| Address | BANDIPUR,HOOGHLY,WB,712407 | Age | 55 Years,8 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||