Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07843 | Date 18/03/2020 |
| Token No | SM/21-22/6001 18/10/2021 | Serial | 037 Last Visit: 15/01/2025 |
| Patient Name | Mrs. PUJA DAS | Contact No | 8013907419 |
| Address | 30/C P N K B LANE CHATRA, GHOSH PARA,GORGORI GHAT SERAMPORE | Age | 27 Years,0 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||