Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07794 | Date 14/03/2020 |
| Token No | SM/19-20/20256 25/03/2020 | Serial | 012 Last Visit: 29/10/2025 |
| Patient Name | Mrs. SOMA SAHA | Contact No | 9088649478 |
| Address | 68/1 GURUDAS BHATTACHARJEE LANE , BAIDYABATI (M) | Age | 42 Years,9 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||