Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07150 | Date 14/12/2019 |
| Token No | SM/19-20/15297 14/12/2019 | Serial | 062 Last Visit: 29/11/2025 |
| Patient Name | Mrs. BARNALI PAL | Contact No | 8961457525 |
| Address | 74/A RAMKRISHNA ROAD CHATRA , BAIDYABATI(M) | Age | 47 Years,11 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||