Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03079 | Date 19/01/2019 |
| Token No | SM/19-20/22460 27/05/2020 | Serial | 002 Last Visit: 04/12/2025 |
| Patient Name | Mrs. ANIMA DUTTA | Contact No | 9830806063 |
| Address | CHATRA SHITLATALA GURU DAS BHATTCHARJEE LANE | Age | 59 Years,11 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||