Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00343 | Date 11/08/2018 |
| Token No | SM/18-19/6160 02/01/2019 | Serial | 069 Last Visit: 06/12/2025 |
| Patient Name | Mrs. RANJITA SOM | Contact No | 9339037247 |
| Address | BARUIPARA LANE, CHATRA SERAMPORE | Age | 47 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||