Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09330 | Date 16/03/2021 |
| Token No | SM/20-21/30785 16/03/2021 | Serial | 023 Last Visit: 09/10/2025 |
| Patient Name | Mrs. RANITA HAJRA | Contact No | 9007168350 |
| Address | 3/E GHOSH PARA 1ST LANE CHATRA SERAMPORE | Age | 43 Years,9 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||