Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11322 | Date 22/07/2022 |
| Token No | SM/22-23/19505 05/01/2023 | Serial | 043 Last Visit: 26/06/2025 |
| Patient Name | Mrs. SARASWATI PRAMANIK | Contact No | 9932773908 |
| Address | SERAMPORE | Age | 72 Years,5 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||