Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06025 | Date 01/08/2019 |
| Token No | SM/20-21/29455 18/01/2021 | Serial | 006 Last Visit: 17/12/2025 |
| Patient Name | Mrs. LAXMI MAJUMDAR | Contact No | 9674998293 |
| Address | 2 MAHATMA GANDHI ROAD SERAMPORE | Age | 54 Years,11 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||