Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05702 | Date 08/07/2019 |
| Token No | SM/22-23/21747 20/05/2023 | Serial | 003 Last Visit: 11/10/2025 |
| Patient Name | Miss SANIA DEY | Contact No | 9674357914 |
| Address | 12/G/2 ARBINDA SARANI SERAMPORE | Age | 20 Years,1 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||