Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00697 | Date 25/08/2018 |
| Token No | SM/18-19/3981 20/11/2018 | Serial | 059 Last Visit: 12/11/2025 |
| Patient Name | Mrs. PURNIMA KUNDU | Contact No | 9163174227 |
| Address | CHATRA DUTTAPARA | Age | 68 Years,10 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||