Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00873 | Date 01/09/2018 |
| Token No | SM/21-22/9683 08/02/2022 | Serial | 039 Last Visit: 07/02/2025 |
| Patient Name | Mrs. SANTILATA GHOSH | Contact No | 9088914432 |
| Address | 29C CHAKRABORTY LANE | Age | 42 Years,1 Months,7 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||