Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09070 | Date 18/12/2020 |
| Token No | SM/21-22/5943 09/10/2021 | Serial | 016 Last Visit: 18/09/2025 |
| Patient Name | Mrs. ARPITA DUTTA | Contact No | 9674666975 |
| Address | 55 NO CHATRA BARUIPARA LANE SERAMPORE | Age | 36 Years,4 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||