Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06115 | Date 14/08/2019 |
| Token No | SM/21-22/4800 06/09/2021 | Serial | 032 Last Visit: 27/12/2025 |
| Patient Name | Mrs. ISRAT BIBI | Contact No | 7449839076 |
| Address | 44 N.N. ROY STREET SERAMPORE | Age | 35 Years,11 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||