Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12357 | Date 22/08/2023 |
| Token No | SM/22-23/23788 22/08/2023 | Serial | 048 Last Visit: 11/12/2025 |
| Patient Name | Miss MONALISHA GHOSH | Contact No | 9143342647 |
| Address | BAIDYABATI BOSE PARA | Age | 33 Years,10 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||