Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08496 | Date 07/07/2020 |
| Token No | SM/21-22/6749 12/11/2021 | Serial | 023 Last Visit: 14/11/2025 |
| Patient Name | Mrs. SAMAPTI DAS | Contact No | 9143224472 |
| Address | 26 P.N. K. B. LANE CHATRA, SERAMPORE | Age | 56 Years,10 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||