Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06497 | Date 21/09/2019 |
| Token No | SM/22-23/11828 20/04/2022 | Serial | 016 Last Visit: 30/07/2025 |
| Patient Name | Mrs. RUMA DAS | Contact No | 9830458198 |
| Address | 24 N N ROY STREET SERAMPORE | Age | 62 Years,6 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||