Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00054 | Date 02/08/2018 |
| Token No | SM/18-19/5516 20/12/2018 | Serial | 029 Last Visit: 19/09/2025 |
| Patient Name | Mrs. SARSWATI DEY | Contact No | 9051868281 |
| Address | 24, P.N MUKHERJEE STREET | Age | 71 Years,8 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||