Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07762 | Date 12/03/2020 |
| Token No | SM/19-20/19749 17/03/2020 | Serial | 008 Last Visit: 21/11/2025 |
| Patient Name | Mrs. SRABANI NAYEK | Contact No | 9143107023 |
| Address | 105 (39) D N MUKHERJEE ROAD , BAIDYABATI(M) | Age | 44 Years,4 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||