Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00336 | Date 10/08/2018 |
| Token No | SM/19-20/22555 29/05/2020 | Serial | 027 Last Visit: 23/06/2025 |
| Patient Name | Mrs. INDRANILA BHATTACHARYA | Contact No | 7059705107 |
| Address | 38, A.P GHOSH ROAD | Age | 28 Years,5 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||