Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09914 | Date 06/08/2021 |
| Token No | SM/25-26/6512 24/09/2025 | Serial | 075 Last Visit: 12/11/2025 |
| Patient Name | Mrs. SANDYA PAL | Contact No | 9674788126 |
| Address | 38,SATCHASI PARA SERAMPORE | Age | 70 Years,10 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||