Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02667 | Date 24/12/2018 |
| Token No | SM/18-19/5690 24/12/2018 | Serial | 013 Last Visit: 07/07/2025 |
| Patient Name | Mrs. CHAYNA DAS | Contact No | |
| Address | CHATRA BAGER BAGAN,BAIDYABATY(M) | Age | 52 Years,6 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||