Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04003 | Date 05/03/2019 |
| Token No | SM/18-19/9847 05/03/2019 | Serial | 048 Last Visit: 08/11/2025 |
| Patient Name | Mrs. BASANTI PRAMANIK | Contact No | 8582911216 |
| Address | RAMKRISHANA NAGAR, BAIDYABATI(M) | Age | 52 Years,10 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||