Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03224 | Date 29/01/2019 |
| Token No | SM/19-20/18210 17/02/2020 | Serial | 034 Last Visit: 21/03/2025 |
| Patient Name | Mrs. RUNU MUKHERJEE | Contact No | 9163556098 |
| Address | 4 CHATRA BAJAR ROAD | Age | 43 Years,2 Months,18 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||