Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07301 | Date 08/01/2020 |
| Token No | SM/21-22/286 08/04/2021 | Serial | 010 Last Visit: 17/07/2025 |
| Patient Name | Mrs. MAYA GHOSH | Contact No | 7044682369 |
| Address | 4 G.T. ROAD,BAIDYABATI(M) | Age | 87 Years,6 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||