Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 15745 | Date 23/07/2025 |
| Token No | SM/25-26/4033 23/07/2025 | Serial | 063 Last Visit: 23/07/2025 |
| Patient Name | Mrs. SABITA DUTTA | Contact No | 9330021773 |
| Address | 195/2 RAJYADHARPUR GOVT COLONY SERAMPORE MALLICKPARA | Age | 47 Years,6 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||