Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06178 | Date 20/08/2019 |
| Token No | SM/21-22/2719 30/06/2021 | Serial | 025 Last Visit: 06/06/2025 |
| Patient Name | Mrs. MAMONI DAS | Contact No | 9903444798 |
| Address | SERAMPORE | Age | 24 Years,0 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||