Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00524 | Date 17/08/2018 |
| Token No | SM/22-23/25612 26/10/2023 | Serial | 001 Last Visit: 04/12/2025 |
| Patient Name | Mrs. RUPA ROY | Contact No | 9330493534 |
| Address | 7, LAHIRIPARA CHATRA SERAMPORE | Age | 39 Years,11 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||