Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03256 | Date 31/01/2019 |
| Token No | SM/18-19/10417 12/03/2019 | Serial | 008 Last Visit: 08/08/2025 |
| Patient Name | Mrs. SANDHYA BANERJEE | Contact No | 9023002090 |
| Address | 1A/1CHATRA,K K MUKHERJEE SWARANI | Age | 44 Years,7 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||