Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05642 | Date 02/07/2019 |
| Token No | SM/19-20/14973 09/12/2019 | Serial | 083 Last Visit: 15/10/2025 |
| Patient Name | Mrs. ARCHANA CHANDA | Contact No | 9432672752 |
| Address | 7 CHOWDHURI PARA BEY LANE | Age | 63 Years,9 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||