Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09866 | Date 23/07/2021 |
| Token No | SM/21-22/3399 23/07/2021 | Serial | 015 Last Visit: 21/06/2025 |
| Patient Name | Mrs. BANDANA GHOSH | Contact No | 9874275001 |
| Address | 2, GHOSH PARA 1 ST LANE CHATRA SERAMPORE | Age | 47 Years,5 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||