Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07940 | Date 27/03/2020 |
| Token No | SM/20-21/29958 01/02/2021 | Serial | 022 Last Visit: 18/10/2025 |
| Patient Name | Mrs. SWAPNA MALIK | Contact No | 9051902762 |
| Address | 39 A P GHOSH ROAD SERAMPORE | Age | 35 Years,7 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||