Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02279 | Date 01/12/2018 |
| Token No | SM/18-19/4523 01/12/2018 | Serial | 050 Last Visit: 18/03/2025 |
| Patient Name | Mrs. RUMPA BISWAS | Contact No | 9051868281 |
| Address | 8, CHATRA BAZAR ROAD | Age | 37 Years,10 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||