Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01738 | Date 29/10/2018 |
| Token No | SM/18-19/5267 14/12/2018 | Serial | 056 Last Visit: 08/12/2025 |
| Patient Name | Mrs. SMRITIKANA CHOWDHURY | Contact No | 8697666204 |
| Address | 20, CHATRA CHOWDHURY PARA / LANE | Age | 58 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||