Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06010 | Date 30/07/2019 |
| Token No | SM/19-20/19445 12/03/2020 | Serial | 007 Last Visit: 06/12/2025 |
| Patient Name | Mrs. BANDANA NANDI | Contact No | 9230850326 |
| Address | 44 D.N MUKHERJEE ROAD , BAIDYABATI(M) | Age | 63 Years,9 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||