Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02547 | Date 15/12/2018 |
| Token No | SM/19-20/17627 05/02/2020 | Serial | 003 Last Visit: 29/03/2025 |
| Patient Name | Mrs. BHARATI PANDIT | Contact No | 7044749981 |
| Address | G T ROAD (WEST)PAMPA NAGAR G T ROAD, BAIDYABATI(M) | Age | 55 Years,1 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||