Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14466 | Date 29/10/2024 |
| Token No | SM/24-25/38800 29/10/2024 | Serial | 028 Last Visit: 06/12/2025 |
| Patient Name | Mrs. SUSMITA PAL | Contact No | 6290430207 |
| Address | 85 A.P. GHOSH ROAD CHATRA SERAMPORE | Age | 26 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 85.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||