Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00106 | Date 04/08/2018 |
| Token No | SM/20-21/30326 04/03/2021 | Serial | 002 Last Visit: 08/11/2025 |
| Patient Name | Mrs. REBA DAS | Contact No | 7044246039 |
| Address | 125, A.P. GHOSH ROAD SERAMPORE | Age | 74 Years,10 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||