Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08497 | Date 07/07/2020 |
| Token No | SM/21-22/2333 18/06/2021 | Serial | 002 Last Visit: 01/12/2025 |
| Patient Name | Mrs. SONALI DAS PAL | Contact No | 6291296405 |
| Address | 26,P.N.K BANERJEE LANE,CHATRA,SERAMPORE | Age | 33 Years,5 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||