Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13671 | Date 09/05/2024 |
| Token No | SM/25-26/7843 10/11/2025 | Serial | 063 Last Visit: 09/12/2025 |
| Patient Name | Miss RASHMI JAMIL | Contact No | 7890176466 |
| Address | KOLKATA NEW TOWN | Age | 38 Years,2 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||