Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10199 | Date 18/10/2021 |
| Token No | SM/21-22/5992 18/10/2021 | Serial | 028 Last Visit: 18/08/2025 |
| Patient Name | Mrs. REKHA DAS | Contact No | 6290317102 |
| Address | 4/A,G.C GOSWAMI STREET SERAMPORE | Age | 28 Years,10 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||