Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03615 | Date 16/02/2019 |
| Token No | SM/19-20/18367 19/02/2020 | Serial | 028 Last Visit: 09/04/2025 |
| Patient Name | Mrs. LATA ROY | Contact No | 8777609879 |
| Address | CHATRA LANKAR BAGAN, BAIDYABATI(M) | Age | 36 Years,3 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||