Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06579 | Date 30/09/2019 |
| Token No | SM/19-20/19462 12/03/2020 | Serial | 024 Last Visit: 28/08/2025 |
| Patient Name | Mrs. ANIMA DESHI BHADRA | Contact No | 8336014689 |
| Address | CHATRA BOUBAZER,BAIDYABATI(M) | Age | 57 Years,7 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||