Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00010 | Date 01/08/2018 |
| Token No | SM/22-23/27694 30/12/2023 | Serial | 030 Last Visit: 27/12/2025 |
| Patient Name | Mrs. RAKHI BHOWMIK | Contact No | 9883194603 |
| Address | NAOGAR MORE, SERAMPORE | Age | 44 Years,11 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||