Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08750 | Date 18/09/2020 |
| Token No | SM/20-21/29314 13/01/2021 | Serial | 037 Last Visit: 20/09/2025 |
| Patient Name | Mrs. SANDHA BAG | Contact No | 7044112993 |
| Address | 11A DUTTAS LANE SERAMPORE | Age | 48 Years,8 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||