Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04281 | Date 18/03/2019 |
| Token No | SM/19-20/17912 12/02/2020 | Serial | 022 Last Visit: 18/12/2025 |
| Patient Name | Mrs. LAKSHMI DAS | Contact No | 9433640374 |
| Address | 30/B CHATRA DHARMOTALA SERAMPORE | Age | 47 Years,11 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||