Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01893 | Date 05/11/2018 |
| Token No | SM/18-19/3458 05/11/2018 | Serial | 018 Last Visit: 17/12/2025 |
| Patient Name | Mrs. ANJU MANNA | Contact No | 7595928533 |
| Address | 124 CHATRA BAGHER BAGAN BAIDYABATI (M) | Age | 38 Years,11 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||