Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05206 | Date 23/05/2019 |
| Token No | SM/21-22/7293 29/11/2021 | Serial | 019 Last Visit: 30/08/2025 |
| Patient Name | Mrs. MAHALAXMI JHA | Contact No | 9681059453 |
| Address | 64 N.N RAY STREET SERAMPORE | Age | 62 Years,7 Months,28 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||