Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09502 | Date 21/04/2021 |
| Token No | SM/21-22/6513 02/11/2021 | Serial | 028 Last Visit: 07/11/2025 |
| Patient Name | Mrs. SUPRIYA NANDI | Contact No | 9051186019 |
| Address | 2 LENIN SARANI SERAMPORE MALLICK PARA | Age | 47 Years,10 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||