Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09872 | Date 26/07/2021 |
| Token No | SM/21-22/5864 07/10/2021 | Serial | 047 Last Visit: 11/12/2025 |
| Patient Name | Mrs. REKHA GHOSH | Contact No | 8420422172 |
| Address | 18,BENIAPARA LANE SERAMPORE | Age | 47 Years,11 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||