Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00700 | Date 25/08/2018 |
| Token No | SM/19-20/15545 18/12/2019 | Serial | 055 Last Visit: 21/11/2025 |
| Patient Name | Mrs. SANGITA KAUR | Contact No | 9051732096 |
| Address | 25/15 KAZIPARA, BAIDYABATI(M) | Age | 49 Years,10 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||