Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04713 | Date 16/04/2019 |
| Token No | SM/19-20/1352 22/04/2019 | Serial | 067 Last Visit: 21/11/2025 |
| Patient Name | Mrs. RITA RANI DAS | Contact No | 9883622090 |
| Address | 46 CHATRA BARUI PARA SERAMPORE | Age | 50 Years,10 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||