Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12909 | Date 13/12/2023 |
| Token No | SM/22-23/28486 29/01/2024 | Serial | 044 Last Visit: 03/12/2025 |
| Patient Name | Mrs. SROTASWINI DAS | Contact No | 9681614678 |
| Address | 54/A CHATRA BARUI PARA LANE SERAMPORE | Age | 21 Years,5 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||