Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02544 | Date 15/12/2018 |
| Token No | SM/19-20/12979 11/11/2019 | Serial | 021 Last Visit: 15/11/2025 |
| Patient Name | Mrs. SIKHA CHAKRABORTY | Contact No | 9874782361 |
| Address | 55, CHATRA BARUI PARA | Age | 71 Years,10 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||