Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 13152 | Date 27/01/2024 |
| Token No | SM/22-23/29056 10/02/2024 | Serial | 034 Last Visit: 20/09/2025 |
| Patient Name | Miss RAJMITA CHAKRABORTY | Contact No | 9903727702 |
| Address | 92/91/G KUMIRJALA ROAD SERAMPORE | Age | 27 Years,2 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||