Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01018 | Date 10/09/2018 |
| Token No | SM/19-20/21813 01/05/2020 | Serial | 019 Last Visit: 10/02/2025 |
| Patient Name | Mrs. TANUSHREE BERA | Contact No | 8622830918 |
| Address | 14, AK DUTTA SARANI | Age | 25 Years,8 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||