Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08248 | Date 12/05/2020 |
| Token No | SM/24-25/42836 12/02/2025 | Serial | 059 Last Visit: 12/02/2025 |
| Patient Name | Mrs. MOUSUMI SINGH | Contact No | 9163220910 |
| Address | 28/1/2 BARABAGAN LANE SERAMPORE | Age | 27 Years,2 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||