Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05777 | Date 15/07/2019 |
| Token No | SM/25-26/1856 28/05/2025 | Serial | 010 Last Visit: 04/07/2025 |
| Patient Name | Mrs. DURGA RAY | Contact No | 9674469292 |
| Address | 18 N.N. RAY STREET ,SERAMPORE | Age | 62 Years,6 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||