Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13771 | Date 29/05/2024 |
| Token No | SM/24-25/33004 29/05/2024 | Serial | 069 Last Visit: 17/11/2025 |
| Patient Name | Mrs. SANDHAYA MALIK | Contact No | |
| Address | 59 A P GHOSH ROAD CHATRA SERAMPORE | Age | 60 Years,2 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||