Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07322 | Date 11/01/2020 |
| Token No | SM/21-22/9238 22/01/2022 | Serial | 005 Last Visit: 08/11/2025 |
| Patient Name | Mrs. SIKHA SAHA | Contact No | 9433818568 |
| Address | 42 BARO BAGAN LANE SERAMPORE | Age | 52 Years,10 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||