Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09331 | Date 16/03/2021 |
| Token No | SM/20-21/30800 16/03/2021 | Serial | 038 Last Visit: 14/08/2025 |
| Patient Name | Mrs. RITA MALICK | Contact No | 8768230739 |
| Address | 33 BARABAGAN LANE SERAMPORE MALLICK PARA | Age | 46 Years,7 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||