Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01640 | Date 12/10/2018 |
| Token No | SM/21-22/4457 26/08/2021 | Serial | 041 Last Visit: 26/09/2025 |
| Patient Name | Mrs. MALLIKA SARKAR | Contact No | 8017569932 |
| Address | CHATRA SHITALATALA SERAMPORE | Age | 33 Years,8 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||