Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01978 | Date 15/11/2018 |
| Token No | SM/18-19/7185 21/01/2019 | Serial | 053 Last Visit: 08/09/2025 |
| Patient Name | Mrs. ASTI SARKAR | Contact No | 8583030716 |
| Address | 147 CHATRA TELI PARA BAGER BAGAN, BAIDYABATI (M) | Age | 53 Years,10 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||