Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03751 | Date 21/02/2019 |
| Token No | SM/19-20/1151 18/04/2019 | Serial | 064 Last Visit: 08/05/2025 |
| Patient Name | Mrs. ANAPURNA DAS | Contact No | 8013355704 |
| Address | 45 CHATRA LANKAR BAGAN, BAIDYABATI(M) | Age | 69 Years,6 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||