Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00709 | Date 27/08/2018 |
| Token No | SM/19-20/17177 25/01/2020 | Serial | 020 Last Visit: 28/10/2025 |
| Patient Name | Mrs. SRABONI KUNDU | Contact No | 9836811534 |
| Address | 3A/5 CHATRA DUTTAPARA | Age | 58 Years,9 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||