Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04603 | Date 08/04/2019 |
| Token No | SM/19-20/10868 21/09/2019 | Serial | 077 Last Visit: 14/11/2025 |
| Patient Name | Mrs. NAMITA DAS | Contact No | 9681248032 |
| Address | 184/2 SATCHASI PARA CHATRA LANKAR BAGAN , BAIDYABATI(M) | Age | 38 Years,11 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||