Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00083 | Date 03/08/2018 |
| Token No | SM/24-25/32021 02/05/2024 | Serial | 073 Last Visit: 10/09/2025 |
| Patient Name | Mrs. MALA CHETERJEE | Contact No | |
| Address | CHAKRABORTY LANE | Age | 42 Years,8 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||