Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01652 | Date 12/10/2018 |
| Token No | SM/18-19/2832 12/10/2018 | Serial | 039 Last Visit: 31/05/2025 |
| Patient Name | Mrs. SABITA PAUL | Contact No | 9647934441 |
| Address | CHOWDHURI PARA LANE CHATRA SHERAMPORE | Age | 50 Years,10 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||