Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02346 | Date 05/12/2018 |
| Token No | SM/18-19/4701 05/12/2018 | Serial | 025 Last Visit: 06/06/2025 |
| Patient Name | Mrs. SUDHA MUKHERJEE | Contact No | |
| Address | CHATRA BAGER BAGAN , BAIDYABATI(M) | Age | 44 Years,5 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||