Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03565 | Date 13/02/2019 |
| Token No | SM/19-20/14699 05/12/2019 | Serial | 027 Last Visit: 05/08/2025 |
| Patient Name | Mrs. ANIMA MONDAL | Contact No | 9836266501 |
| Address | 18 N N ROY STREET | Age | 42 Years,7 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||