Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03200 | Date 28/01/2019 |
| Token No | SM/22-23/18692 08/12/2022 | Serial | 021 Last Visit: 21/04/2025 |
| Patient Name | Mrs. MANJU KUNDU | Contact No | 9830305569 |
| Address | AKC BHATTCHARJEE STREETSERAMPORE | Age | 62 Years,3 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||