Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09468 | Date 16/04/2021 |
| Token No | SM/25-26/3089 01/07/2025 | Serial | 011 Last Visit: 01/07/2025 |
| Patient Name | Mrs. SHRANBANI PRAMANIK | Contact No | 8481870429 |
| Address | 76 CHATRA BARUIPARA LANE CHATRA SERAMPORE | Age | 52 Years,6 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||