Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10035 | Date 03/09/2021 |
| Token No | SM/21-22/4687 03/09/2021 | Serial | 007 Last Visit: 16/07/2025 |
| Patient Name | Mrs. PUSHPITA BERA | Contact No | 6290080458 |
| Address | 3, PARSHI LANE SERAMPORE | Age | 25 Years,6 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||