Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09492 | Date 19/04/2021 |
| Token No | SM/21-22/1720 25/05/2021 | Serial | 027 Last Visit: 30/05/2025 |
| Patient Name | Mrs. SIPRA DAS | Contact No | 8420794148 |
| Address | 40/C BARA BAGAN LANE SERAMPORE | Age | 74 Years,9 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||