Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09509 | Date 22/04/2021 |
| Token No | SM/21-22/689 22/04/2021 | Serial | 024 Last Visit: 21/03/2025 |
| Patient Name | Mrs. MANASHI SENGUPTA | Contact No | 9007989988 |
| Address | 85/29 G.T ROAD WEST SERAMPORE | Age | 50 Years,4 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||