Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11321 | Date 22/07/2022 |
| Token No | SM/22-23/16726 14/09/2022 | Serial | 031 Last Visit: 19/11/2025 |
| Patient Name | Mrs. APARNA PRAMANIK | Contact No | 9932773908 |
| Address | SERAMPORE | Age | 43 Years,10 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||