Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00737 | Date 27/08/2018 |
| Token No | SM/18-19/3965 20/11/2018 | Serial | 043 Last Visit: 10/11/2025 |
| Patient Name | Mrs. ARPITA KUNDU | Contact No | 8370985544 |
| Address | 4, CHOWDHURY PARA LANE | Age | 44 Years,10 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||