Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08251 | Date 14/05/2020 |
| Token No | SM/21-22/3559 27/07/2021 | Serial | 036 Last Visit: 21/11/2025 |
| Patient Name | Mrs. MANJULA PAL | Contact No | 9051045259 |
| Address | 37 KUMOR PARA LANE SERAMPORE | Age | 62 Years,10 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||