Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06829 | Date 11/11/2019 |
| Token No | SM/19-20/19227 06/03/2020 | Serial | 052 Last Visit: 21/07/2025 |
| Patient Name | Mrs. BASANTI BHOWMIK | Contact No | 7547990297 |
| Address | 54 ,CHATRA BARUI PARA SERAMPORE | Age | 68 Years,6 Months,18 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 33 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||