Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01206 | Date 19/09/2018 |
| Token No | SM/18-19/9010 19/02/2019 | Serial | 040 Last Visit: 09/09/2025 |
| Patient Name | Mrs. TAPASI JANA | Contact No | |
| Address | 166 BAGHER BAGAN BAIDYABATI (M) | Age | 48 Years,5 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||