Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 15313 | Date 16/05/2025 |
| Token No | SM/25-26/3160 02/07/2025 | Serial | 071 Last Visit: 02/07/2025 |
| Patient Name | Mrs. CHHAYARANI PAL | Contact No | 8420772350 |
| Address | 2 BOSE PARA LANE SERAMPORE MAHESH | Age | 86 Years,8 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 28.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||