Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08445 | Date 29/06/2020 |
| Token No | SM/22-23/22385 23/06/2023 | Serial | 017 Last Visit: 16/06/2025 |
| Patient Name | Mrs. SHRABANI BAG | Contact No | 9874314580 |
| Address | 43NO CHATRA BARUI PARA LANE SERAMPORE | Age | 55 Years,5 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||