Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14047 | Date 15/07/2024 |
| Token No | SM/24-25/36189 20/08/2024 | Serial | 007 Last Visit: 14/11/2025 |
| Patient Name | Mrs. ANJALI PAUL | Contact No | 9007075466 |
| Address | 54/1 TOLLYGUNJ ROAD KALIGHAT , KOLKATA | Age | 28 Years,10 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||