Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 14115 | Date 31/07/2024 |
| Token No | SM/24-25/35566 31/07/2024 | Serial | 018 Last Visit: 08/12/2025 |
| Patient Name | Mrs. RAMA GHOSH | Contact No | 9038286732 |
| Address | 46,13/2,D.N MUKHERJEE ROAD, BAIDYABATI(M) | Age | 68 Years,7 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||