Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 07942 | Date 27/03/2020 |
| Token No | SM/19-20/20369 27/03/2020 | Serial | 017 Last Visit: 02/09/2025 |
| Patient Name | Mrs. RITA DEY | Contact No | 9231633292 |
| Address | 33/A CHARA BAGAN CHATRA , BAIDYABATI(M) | Age | 62 Years,8 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||