Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03626 | Date 18/02/2019 |
| Token No | SM/19-20/20253 25/03/2020 | Serial | 009 Last Visit: 06/12/2025 |
| Patient Name | Mrs. MINATI DUTTA | Contact No | 9830323667 |
| Address | 34A CHATRA SHITLATALA TALA ROAD , BAIDYABATI (M) | Age | 49 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||