Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01183 | Date 18/09/2018 |
| Token No | SM/18-19/10412 12/03/2019 | Serial | 003 Last Visit: 18/12/2025 |
| Patient Name | Mrs. MADHABI DUTTA | Contact No | 9830279455 |
| Address | 93/D, CHATRA BARUIPARA LANE | Age | 55 Years,11 Months,16 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||