Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02448 | Date 10/12/2018 |
| Token No | SM/19-20/22375 19/05/2020 | Serial | 025 Last Visit: 15/10/2025 |
| Patient Name | Mrs. MANUSHREE GUIN | Contact No | 8697884274 |
| Address | 90/A CHATRA BARUI PARA SEARMPORE | Age | 57 Years,9 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||