Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08220 | Date 05/05/2020 |
| Token No | SM/22-23/25331 13/10/2023 | Serial | 024 Last Visit: 11/06/2025 |
| Patient Name | Mrs. SUBALA PANDIT | Contact No | 9339665468 |
| Address | 13 ROY M C LAHIRI BAHDUR STREET CHATRA SERAMPORE | Age | 69 Years,11 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||