Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 13571 | Date 15/04/2024 |
| Token No | SM/24-25/32474 13/05/2024 | Serial | 062 Last Visit: 22/10/2025 |
| Patient Name | Mrs. RAKHI PAL | Contact No | 8335938948 |
| Address | 42 B P DEY STREET SERAMPORE | Age | 55 Years,9 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||