Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08521 | Date 09/07/2020 |
| Token No | SM/25-26/8367 28/11/2025 | Serial | 005 Last Visit: 13/12/2025 |
| Patient Name | Mrs. SHANKARI GHOSH | Contact No | 9903372487 |
| Address | 5 NO A.P GHOSH ROAD CHATRA SERAMPORE | Age | 72 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 131/91 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||