Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09780 | Date 02/07/2021 |
| Token No | SM/21-22/7754 14/12/2021 | Serial | 015 Last Visit: 11/07/2025 |
| Patient Name | Mrs. JHUNU RANI DAS | Contact No | 9903687157 |
| Address | 18/A A.P GHOSH ROAD CHATRA SERAMPORE | Age | 49 Years,6 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||