Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01186 | Date 18/09/2018 |
| Token No | SM/19-20/20248 25/03/2020 | Serial | 004 Last Visit: 10/09/2025 |
| Patient Name | Mrs. KARUNA MONDAL | Contact No | 8961457477 |
| Address | CHATRA BAGER BAGAN TELI PARA BAIDYABATI(M) | Age | 62 Years,8 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||