Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03294 | Date 01/02/2019 |
| Token No | SM/19-20/18244 17/02/2020 | Serial | 068 Last Visit: 14/07/2025 |
| Patient Name | Mrs. SEBIKA NAYAK | Contact No | 7003131791 |
| Address | 11/G/A G T ROAD,MANIK GHOSH ER BAGAN,BAIDYABATY(M) | Age | 30 Years,6 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||