Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02432 | Date 10/12/2018 |
| Token No | SM/19-20/11507 04/10/2019 | Serial | 001 Last Visit: 06/11/2025 |
| Patient Name | Mrs. SRABANI SADHUKHHAN | Contact No | 9836536324 |
| Address | 40/3/A A P GHOSH ROAD | Age | 47 Years,10 Months,4 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||