Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07799 | Date 14/03/2020 |
| Token No | SM/20-21/29570 20/01/2021 | Serial | 018 Last Visit: 15/11/2025 |
| Patient Name | Mrs. KALPANA KUNDU | Contact No | 6290778500 |
| Address | 89/G VIVEKANAND SARANI , BAIDYABATI(M) | Age | 61 Years,10 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||